| Originator: | Briere, Elizabeth Status: Approved Department: PTA Physical Therapist Assistant |
| Date Created: | 07/07/2020 Submitted: 07/07/2020 Completed: 09/15/2020 |
| Course Information: | Course Modification to an existing course |
| Course Full Title: | Patient Mobility Techniques |
| Course Number: | 200 |
| Catalog Course Description: | Introduction into patient management do include mobility, communication, documentation, and management of patient medical records. Principles and techniques of mobility training and patient positioning with therapeutic activity, gait training, and wheelchair mobility are practiced. Foundations of therapeutic exercises with patient care are introduced and practice. |
| Previous Credit (Total): | 4 |
| Previous Lecture Hours: | 2 |
| Previous Lab Hours: | 6 |
| Prerequisite(s): | TRE 089 and MAT 101 or TRM 091 or appropriate score on the assessment test. Admission to the PTA program. |
| Explanation of proposed modifications to course: | Updates to course description to reflect changes made to course competencies and objectives. Course competencies updated to reflect current trends in physical therapy, and objectives updated to align with competencies and to make measurable. |
| Contact person/email: | ebriere@mohave.edu |
| Effective Academic Year: | 2021 |
| SUN Course?: | No |
| If yes, please provide the established SUN number: | |
| Is this course identified as a Writing Across the Curriculum (WAC) course?: | No |
| Course Competencies and Objectives OR Course Competencies and Outline: | Competency 1 Summarize the patient/client management process.
Objective 1.1 Interpret the 19 HIPAA identifiers in medical records. Objective 1.2 Analyze the purposes of an initial interview with patient care. Objective 1.3 Analyze interview approaches with patient care. Objective 1.4 Outline the components of a patient interview utilized with physical therapy. Objective 1.5 Compare data collection methods for the measurement of pain. Objective 1.6 Compare current disablement models utilized in physical therapy. Competency 2 Construct the purpose of documentation in the health care system Objective 2.1 Identify the role of medical records. Objective 2.2 Summarize the components of medical records. Objective 2.3 Compare the source oriented and problem oriented medical record formats. Objective 2.4 Summarize functional outcome reports medical record systems. Objective 2.5 Identify other disciplines involved with medical record documentation. Objective 2.6 Outline the components of the physical therapy evaluation. Objective 2.7 Compare organization formats for daily progress notes Objective 2.8 Summarize the role of documentation utilized in physical therapy. Objective 2.9 Demonstrate proper documentation of patient care in the appropriate sections of a progress note. Objective 2.10 Identify the principles for documentation. Competency 3 Formulate the components involved with safe patient care. Objective 3.1 Outline general guidelines for properly managing the patient care environment. Objective 3.2 Identify common biases have with patient care. Objective 3.3 Compare verbal and nonverbal communication and impact with patient care. Objective 3.4 Demonstrate constructive communication with patient care. Objective 3.5 Outline patient considerations with verbal communication. Objective 3.6 Summarize the dynamic systems interaction with patient care. Objective 3.7 Compare the relationship between mobility and stability. Objective 3.8 Formulate proper body mechanics with patient care Objective 3.9 Demonstrate proper set-up with patient care Competency 4 Analyze the spread of infection and methods of prevention. Objective 4.1 Interpret nosocomial infection. Objective 4.2 Identify the elements involved with the spread of infection. Objective 4.3 Outline Infectious agents. Objective 4.4 Compare isolation and universal precautions. Objective 4.5 Outline transmission-based precautions and the application of personal protective equipment. Objective 4.6 Compare sterile and clean techniques. Objective 4.7 Identify multi-drug resistant organisms and impact in healthcare. Objective 4.8 Categorize the five modes of transmission of infectious diseases. Objective 4.9 Demonstrate order of donning and doffing personal protective equipment for the select transmission-based precaution. Competency 5 Analyze the steps to assess of physiological status. Objective 5.1 Identify the appropriate data for physiological assessment. Objective 5.2 Identify the sites to assess heart rate and perfusion across the lifespan. Objective 5.3 Compare assessment tools to measure heart rate maximum and exercise tolerance. Objective 5.4 Summarize systolic and diastolic blood pressure. Objective 5.5 Define intermittent claudication. Objective 5.6 Identify factors that affect vital sign measurements. Objective 5.7 Categorize vital sign measurements for normal and abnormal values. Objective 5.8 Identify the components of a stethoscope and sphygmomanometer. Objective 5.9 Demonstrate assessment of heart rate, blood pressure, respiration rate, BORG RPE, and oxygen saturation level. Objective 5.10 Identify the contraindications with assessment blood pressure. Objective 5.11 Outline normal and common abnormal breath sounds. Objective 5.12 Demonstrate documentation of vital sign measurements. Competency 6 Apply the standards of practice for patient positioning and draping with patient care. Objective 6.1 Outline the goals of draping. Objective 6.2 Compare the goals for short term and long-term positioning. Objective 6.3 Outline cultural considerations with draping. Objective 6.4 Distinguish positioning in patient care. Objective 6.5 Compare Trendelenburg and Fowler position. Objective 6.6 Construct the procedures for pressure sore prevention. Objective 6.7 Identify the risks for pressure ulcers. Objective 6.8 Identify the areas prone to pressure sores. Objective 6.9 Demonstrate proper positioning and draping for select procedures and interventions. Objective 6.10 Outline the risks of immobility. Objective 6.11 Categorize the risks of contractures for select positions. Competency 7 Construct bed mobility and transfer training with patient care. Objective 7.1 Outline the level of assistance with mobility training. Objective 7.2 Compare modified independent and independent mobility. Objective 7.3 Assemble bed mobility training techniques with patient care. Objective 7.4 Assemble transfer training techniques with patient care. Objective 7.5 Compose durable medical equipment utilized with bed mobility and transfer training. Objective 7.6 Critique mobility training with dependent transfers. Objective 7.7 Compare stand pivot and squat pivot transfers. Objective 7.8 Demonstrate appropriate transfer types and levels of assistance with select bed mobility and transfer training techniques. Objective 7.9 Demonstrate proper documentation of bed mobility and transfer training techniques. Objective 7.10 Identify patient considerations with bed mobility and transfer training. Objective 7.11 Construct floor to chair transfers. Competency 8 Analyze locomotion and mobility aides. Objective 8.1 Categorize the components for patient mobility. Objective 8.2 Outline the phases of the gait cycle. Objective 8.3 Compare Traditional Gait and Ranchos Los Amigos description of gait. Objective 8.4 Construct the relationship between cadence and stride length. Objective 8.5 Identify ambulatory aides and the indications. Objective 8.6 Outline weight-bearing terms and the use of ambulatory aides. Objective 8.6 Construct tools to monitor weight-bearing with ambulation. Objective 8.7 Summarize the gait patterns with select ambulatory aides. Objective 8.8 Assemble the goal with select ambulatory aides. Objective 8.9 Assemble appropriate sequencing with select ambulatory aides on level surfaces and stair training. Objective 8.10 Compare energy expenditure with select ambulatory aides. Objective 8.11 Demonstrate proper set-up, instructions, guarding and positioning with gait training with ambulatory aides. Objective 8.12 Demonstrate patient instructions with transfer training with an ambulatory aide. Objective 8.13 Outline activities a patient must master to be modified independent with an ambulatory aide. Objective 8.14 Distinguish common gait deviations seen in patient care. Objective 8.15 Demonstrate appropriate documentation of gait training with patient care. Competency 9 Appraise the principles for therapeutic exercises. Objective 9.1 Outline the components of muscle tissue. Objective 9.2 Categorize the types of therapeutic exercises. Objective 9.3 Compare passive range of motion, active-assistive, and active range of motion exercises. Objective 9.4 Identify the functional purpose of range of motion with patient positioning and mobility. Objective 9.5 Compare extrinsic and intrinsic factors impacting available range of motion. Objective. 9.6 Categorize range of motion exercises with clinical applications. Objective 9.7 Demonstrate appropriate set-up and techniques for passive, active-assistive, and active range of motion exercises as established within the plan of care. Objective 9.8 Demonstrate the appropriate documentation of range of motion exercises. Objective 9.9 Identify the contraindications and precautions with range of motion exercises. Competency 10 Appraise the principles behind muscle flexibility and stretching techniques. Objective 10.1 Outline the benefits of muscle flexibility. Objective 10.2 Identify the indications, precautions and contraindications for stretching. Objective 10.3 Compare soft tissue contractures. Objective 10.4 Summarize soft tissue response to stretching. Objective 10.5 Compare elastic and plastic properties of muscle. Objective 10.6 Identify non-contractile soft tissue. Objective 10.7 Distinguish sensory organs of muscle tissue. Objective 10.8 Outline the types of stretching exercises. Objective 10.9 Compare autogenic and reciprocal inhibition. Objective 10.10 Demonstrate appropriate set-up and techniques with stretching exercises as established within the plan of care. Objective 10.11 Demonstrate appropriate documentation of stretching exercises. Competency 11 Analyze the principles of resistance training. Objective 11.1 Summarize the components of muscle performance. Objective 11.2 Compare muscle strength, power and endurance. Objective 11.3 Outline the role of muscle fibers and motor unit recruitment with strength training. Objective 11.4 Compare isometric, isotonic, and isokinetic muscle contractions. Objective 11.5 Compare concentric and eccentric muscle contractions. Objective 11.6 Summarize the impact of fiber orientation and cross-sectional area with muscle performance. Objective 11.7 Construct muscle adaption with strength training. Objective 11.8 Construct the components for exercises prescription. Objective 11.9 Identify the symptoms and impact of over-training. Objective 11.10 Identify the symptoms of delayed onset of muscle soreness. Objective 11.11 Identify the indications, precautions, and contraindications with strength training. Objective 11.12 Demonstrate appropriate set-up and techniques with strength training as established within the plan of care. Objective 11.13 Demonstrate appropriate documentation of strength training. Competency 12 Differentiate the principles of proprioceptive neuromuscular facilitation techniques with patient care. Objective 12.1 Summarize the theory of PNF. Objective 12.2 Compose the PNF patterns for the upper and lower extremities. Objective 12.3 Outline the role of PNF with therapeutic exercises. Competency 13 Analyze the function of the wheelchair for mobility. Objective 13.1 Identify different components of a wheelchair. Objective 13.2 Organize different types of wheelchairs with select patients. Objective 13.3 Demonstrate measuring and patient set-up for wheelchair. Objective 13.4 Outline proper wheelchair posture important for patient care. Objective 13.5 Demonstrate patient mobility training with wheelchair management. Competency 14 Analyze healthcare for medically complex patients. Objective 14.1 Summarize the types of settings for medical complex patients. Objective 14.2 Construct the medical equipment utilized with medically complex patients. Objective 14.3 Compose healthcare practitioners in select healthcare settings. Objective 14.4 Compare epilepsy and seizure disorders, and safety considerations with patient care. Objective 14.5 Compare hyperglycemia and hypoglycemia and safety considerations with patient care. Objective 14.6 Outline the events leading to a syncopal episode and the safety considerations with patient care. Objective 14.7 Construct the signs and symptoms of cardiac distress and the safety considerations with patient care. Objective 14.8 Construct the signs and symptoms of respiratory distress and the safety considerations with patient care. Objective 14.9 Compose the safety precautions in the event of a fall. Competency 15 Analyze the purpose of the Americans with Disabilities Act Objective 15.1 Outline government agencies responsible for developing and enforcement of ADA regulations. Objective 15.2 Appraise ADA Titles I through V. Objective 15.3 Construct specific environment requirements for accessibility as outlined by the ADA. Objective 15.4 Appraise the role of the ADA with meeting the needs of the community. Competency 16 Appraise specialized mobility equipment used in patient care. Objective 16.1 Identify indications, precautions, and contraindications with tilt table and standing frame. Objective 16.2 Compose patient set-up and procedure with a tilt-table test. Objective 16.3 Identify patient populations who are appropriate for a tilt table test. Objective 16.4 Summarize signs and symptoms with orthostatic hypotension. Objective 16.5 Identify patient populations who are appropriate for a standing frame. |
| Is this an AGEC course: | No |
| Course Learning Outcomes: | 1. Demonstrate the necessary communication and management of patient medical records necessary for patient care. (3,2)
2. Demonstrate the safe practice for the delivery of mobility training with patient care. (2,3) 3. Distinguish the mobility equipment utilized in physical therapy. (2,6) 4. Recognize the safe delivery of therapeutic exercises based on data collection. (1,3) |
| Previous Clinical Hours: | 0 |
| New Credit Hours (Total): | |
| New Lecture Hours: | |
| New Lab Hours: | |
| New Clinical Hours: | |
| Reason for Evaluation: | Description Change Objectives, Outcomes, and/or Competencies changes |
| Articulated?: | Yes |
| Transfer?: | NAU |
| Program Modification Required?: | No |
| If yes, list the degree or certificate: | |
| Course Impact?: | No |
| If yes, list the degree or certificate: | |
| New Internship Hours: | |
| Corequisite(s): | PTA 101, PTA 103 |
| Mode of Instruction: | traditional laboratory |
| If other, please explain: | |
| Purpose of Submission: | Change to an Established Course |