Placement Year Ii

RELATIONSHIPS AREA

[E]: EXECUTIVE CAPACITY AREA

[C] : KNOWLEDGE AREA


PROFESSIONAL FIELD:


Initial Patient Assessment: [R] [E] [C]


Medical history [C]:

Within the clinical documentation, identify the most relevant data, useful for the initial evaluation, correlating them to the Individual Rehabilitation Project;

During the interview, collect the most significant anamnestic data and order them according to priority.


Physical examination:

Conduct informal observation of the patient, evaluating vigilance, cognitive aspects, color, scars, signs of inflammation, neurological disorders, postural asymmetries, antalgic attitudes, ventilatory mechanics, alterations in muscle tone-trophism, spontaneous movements... [E]

Conduct joint and muscle assessment, noting deficits in passive mobility or muscle recruitment [E];

Evaluate alterations in tactile, pain, discriminative and kinesthetic sensitivity according to dermatomal distribution, with appropriate strategies and tools [E];

Conduct the functional assessment, observing ADLs and applying the appropriate rating scales (Barthel, FIM, SF-36) to identify the level of autonomy [E];

Evaluate the most common functional gestures (e.g. combing your hair, putting on your trousers, tying your shoes, washing yourself, feeding yourself; postural steps, transfers, verticalisation, walking...), in light of the limitations and strengths, recognizing the compensations adopted and correlating them to diagnosis [E];

Observe and describe the alterations in balance and load during the sitting and orthostatic posture [C];

Describe the relationships between functions - activities - participation in the ICF perspective and in light of the WHO concept of health [C].


Depending on the specific pathology:

Conduct the functional assessment and describe the patient's clinic with [E]:

alterations in cognitive functions following brain injury;

injury to the Central Nervous System or the Peripheral Nervous System;

orthopedic or rheumatological pathology;

cardio-respiratory pathology; detect vital parameters (blood pressure, heart rate, respiratory rate and peripheral saturation), highlighting anomalies with respect to physiology;

pathology in developmental age, amputee, geriatric, polytraumatized, oncological, burned, surgical, in intensive care... respecting the clinical peculiarities.


Describe and administer the most appropriate evaluation tests for the specific pathology [E].


Correlate anamnestic, clinical and rating scale information in order to define short, medium and long-term rehabilitation objectives [E].


Practical skills, knowledge and use of devices in rehabilitation:


Describe the characteristics of the main devices used in rehabilitation and indicate the possible uses: Treadmill, exercise bike, arm cycle ergometer, elastic bands, weights, Leg Press, standing, wall bars, parallel bars, mirror, Bobath ball, inclined surfaces, step, tilting boards.. .) [C].


Describe the characteristics and uses of the main aids and orthoses used in rehabilitation (of the spine, for the joints of the upper and lower limbs, for walking, for ADLs, devices in respiratory rehabilitation...) [C] .


Upon indication and with the supervision of the AdT, carry out passive mobilization exercises, stretching, muscle strengthening, effort reconditioning, balance exercises, manual skills training, walking training and ADL performance [E].


PERSONAL, COMMUNICATIVE - RELATIONAL SCOPE


Welcome the patient and introduce yourself in the context of the physiotherapy session; interact appropriately to the situations presented an respond respectfully to the communicative and emotional stimuli received [R].


Communicate adequately with the members of the rehabilitation team, in particular with the AdT, interacting functionally in the interest of one's own training; ask pertinent questions and at the appropriate times, recognize one's difficulties and overcome them with the methods agreed with the AdT itself [R].


Carry out appropriate educational actions towards patients, regarding behaviors to be adopted to promote secondary prevention, with a language appropriate to the interlocutor, under the supervision of the AdT and respecting one's role [R].