Guest guest Posted March 22, 2012 Report Share Posted March 22, 2012 Does anyone have a resource that indicates that it is or is not within the scope of service for a therapist to determine the treating diagnosis. Thanks in advance. Norma Greenberg OTR/L, CPHQ Stanford Hospital and Clinics ngreenberg@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2012 Report Share Posted March 27, 2012 Not sure of your practice act but one resource that is the gold standard is the " Guide to Physical Therapist Practice " published by the APTA. This is a standard referenced by the profession. even if you are not a member of APTA the guide would set a standard that would be referenced in many legal arguments and is utilized by payers. Within the guide (2nd edition) I can see several references to treatment diagnosis. Some of these are: 1) Guide for Professional Conduct - Principal 4 (A physical therapist shall exercise sound professional judgment) - Section 4.1E (Upon accepting a patient/client for physical therapy services, a physical therapist shall be responsible for the examination, evaluation, and diagnosis of that individual.. 2) Glossary - Diagnosis = Diagnosis is both a process and a label. The diagnostic process includes integrating and evaluating the data that are obtained during the examination to describe the patient/client condition in terms that will guide the prognosis, the plan of card, and the intervention strategies. Physical Therapists use diagnostic labels that identify the impact of a condition on function at the level of the system (especially the movement system) and at the level of the whole person. 3) Chapter 1 - What are Physical Therapists, and What do the Do? - Under section " The Five Elements of Patient/Client Management " - Sub-section " Diagnosis " - Diagnostic labels may be used to describe multiple dimensions of the patient/client, ranging from the most basic cellular level to the highest level of functioning as a person in society. Although physicians typically use labels that identify disease, disorder or condition at the level of the cell, tissue, organ, or system, physical therapists use labels that identify the impact of a condition on function at the level of the system (especially the movement system) and at the level of the whole person. .. The objective of the physical therapist's diagnostic process is the identification of discrepancies that exist between the level of function that is desired by the patient/'client and the capacity of the patient/client to achieve that level. There is a difference in Treatment Diagnosis and Medical Diagnosis. Treatment diagnosis is based on the disability model, not a cellular level. While a PT may talk about a patient with an HNP or CVA or etc.. those should not be confused with Treatment Diagnosis labels which we should be making. Steve Passmore PT, MS Healthy Recruiting Tools spass@... Phone: Fax: " What We Did For You Yesterday Is History. What Can We Do For You Today " Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card Design ~ Recruiting Software From: PTManager [mailto:PTManager ] On Behalf Of norma Sent: Thursday, March 22, 2012 2:00 PM To: PTManager Subject: treating diagnosis Does anyone have a resource that indicates that it is or is not within the scope of service for a therapist to determine the treating diagnosis. Thanks in advance. Norma Greenberg OTR/L, CPHQ Stanford Hospital and Clinics ngreenberg@... <mailto:ngreenberg%40stanfordmed.org> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2012 Report Share Posted March 27, 2012 That would be state specific. You want to read your state practice act and administrative rules. If necessary, contact your state PT Association. Rick Gawenda, PT President Gawenda Seminars & Consulting, Inc. http://www.gawendaseminars.com > Does anyone have a resource that indicates that it is or is not within the scope of service for a therapist to determine the treating diagnosis. > > Thanks in advance. > > Norma Greenberg OTR/L, CPHQ > Stanford Hospital and Clinics > ngreenberg@... > > > > > TODAY(Beta) • Powered by Yahoo! > Why this dish won a $1 million prize > Verrelli's simple recipe beats out thousands of competitors for a life-changing payday. > Privacy Policy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 I agree with Rick that " Diagnosis " is state-specific - some states specifically prohibit physical therapists from rendering a " Diagnosis " . And, most state practice acts don't distinguish between " functional " and " medical " diagnoses. I would argue that physical therapists are just as qualified as physicians, by virtue of our training and experience, to diagnose pathology that we routinely see. For instance, I see a lot of dizzy patients. I routinely assess blood pressure. I occasionally refer patients back to their physician for BP management. I routinely assess risk of CVA and UMN dysfunction. I occasionally refer patients back to their physician with recommendation for brain imaging. I routinely assess drug-drug interactions. I occasionally call the physician and point out an interaction that may be causing the dizziness. I routinely assess lung sounds. I occasionally refer patients back to their physician for management of pneumonia. The point is, I see a lot of patients with pathology. So do most physical therapists. If I want to help these people I feel like I should identify the pathology. You can use clinical prediction rules that are MORE safe and MORE efficient than a physicians' unaided diagnosis to help you make the diagnosis. Here's the link: http://bit.ly/xtBn1X Am I in compliance with the Florida state practice act (FS.486)? Yes, fortunately Florida doesn't specifically prohibit physical therapists' diagnosis. Should you make a diagnosis in states where physical therapists are SPECIFICALLY prohibited from rendering a diagnosis? Your call. Tim , PT www.PhysicalTherapyDiagnosis.com > > > Does anyone have a resource that indicates that it is or is not within the scope of service for a therapist to determine the treating diagnosis. > > > > Thanks in advance. > > > > Norma Greenberg OTR/L, CPHQ > > Stanford Hospital and Clinics > > ngreenberg@... > > > > > > > > > > TODAY(Beta) • Powered by Yahoo! > > Why this dish won a $1 million prize > > Verrelli's simple recipe beats out thousands of competitors for a life-changing payday. > > Privacy Policy > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 I agree with Rick that " Diagnosis " is state-specific - some states specifically prohibit physical therapists from rendering a " Diagnosis " . And, most state practice acts don't distinguish between " functional " and " medical " diagnoses. I would argue that physical therapists are just as qualified as physicians, by virtue of our training and experience, to diagnose pathology that we routinely see. For instance, I see a lot of dizzy patients. I routinely assess blood pressure. I occasionally refer patients back to their physician for BP management. I routinely assess risk of CVA and UMN dysfunction. I occasionally refer patients back to their physician with recommendation for brain imaging. I routinely assess drug-drug interactions. I occasionally call the physician and point out an interaction that may be causing the dizziness. I routinely assess lung sounds. I occasionally refer patients back to their physician for management of pneumonia. The point is, I see a lot of patients with pathology. So do most physical therapists. If I want to help these people I feel like I should identify the pathology. You can use clinical prediction rules that are MORE safe and MORE efficient than a physicians' unaided diagnosis to help you make the diagnosis. Here's the link: http://bit.ly/xtBn1X Am I in compliance with the Florida state practice act (FS.486)? Yes, fortunately Florida doesn't specifically prohibit physical therapists' diagnosis. Should you make a diagnosis in states where physical therapists are SPECIFICALLY prohibited from rendering a diagnosis? Your call. Tim , PT www.PhysicalTherapyDiagnosis.com > > > Does anyone have a resource that indicates that it is or is not within the scope of service for a therapist to determine the treating diagnosis. > > > > Thanks in advance. > > > > Norma Greenberg OTR/L, CPHQ > > Stanford Hospital and Clinics > > ngreenberg@... > > > > > > > > > > TODAY(Beta) • Powered by Yahoo! > > Why this dish won a $1 million prize > > Verrelli's simple recipe beats out thousands of competitors for a life-changing payday. > > Privacy Policy > > Quote Link to comment Share on other sites More sharing options...
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