pta 153: physical agents & massage skills … 153: physical agents & massage skills...

PTA 153: Physical Agents & Massage Skills Competencies

1

Student Name:

Cryotherapy - Cold Packs

S U NA Skill Component

*Student reviews plan of care and ensures patient readiness for application of cryotherapy

*Student applies knowledge of contraindications and precautions for the selected intervention

*Student introduces self to patient, stating name and title, and confirming patient’s identity

*Student washes hands with an approved cleanser prior to treating patient

*Students explains intervention to patient, confirms that patient understands intervention and expectations, and obtains consent to perform intervention

Student chooses cold pack(s) of appropriate shape and size to match the patient’s body part

Student ensures that cold pack(s) is/are at an appropriate temperature

*Student inspects the patient’s skin prior to application of cold pack(s), and ensures that the area is free of clothing and jewelry

*Student assesses patient’s ability to report sensory changes

Implementation

Student positions patient in an appropriate and comfortable position for application of cold pack(s)

Student drapes patient, as necessary

Student takes appropriate girth or volume measurements

Student wraps cold pack(s) in wet or dry interface, as established in the plan of care

Student securely applies cold pack(s) for an appropriate duration, based on the established plan of care

Student provides appropriate verbal and tactile cues during intervention

Student performs all components of intervention in a timely fashion

*Student visually and verbally monitors the patient for safety and comfort throughout the intervention, and makes any necessary modifications

*Student protects self and patient via use of appropriate body mechanics, guarding and assistance, and adherence to standards of safety

Follow Up


Student determines patient’s response to intervention, and recommends any needed modifications to the plan of care to the supervising physical therapist

Student accurately and thoroughly documents intervention, including modifications to intervention

Demonstration of Fundamental Knowledge

Student describes clinical indications for the use of cryotherapy

Student explains the rationale for using cold packs for a given patient

Student explains what evidence would indicate that the PTA could recommend a change in the plan of care

Key: S = Satisfactory U = Unsatisfactory NA = Not Applicable *Critical Elements


2

Cryotherapy - Ice Bath

S U NA Equipment & Patient Preparation

*Student reviews plan of care and ensures patient readiness for application of cold bath





Student ensures that ice bath is at an appropriate temperature

*Student inspects the patient’s skin prior to application of an ice bath, and ensures that the area is free of clothing and jewelry



Implementation

Student instructs patient to submerge body part in ice bath for an appropriate duration, based upon the established plan of care





Follow Up






Student explains the rationale for using an ice bath for a given patient




3

Cryotherapy- Ice Massage


*Student reviews plan of care and ensures patient readiness for application of ice massage





Student ensures that ice cup is at an appropriate temperature

*Student inspects the patient’s skin prior to application of ice massage, and ensures that the area is free of clothing and jewelry


Implementation

Student administers ice massage over an appropriate surface area and for an appropriate duration, based on the established plan of care

Student uses a towel to wipe up water as ice massage is performed





Follow Up

Student performs any necessary follow up measurements and asks patient follow up questions





Student explains the rationale for using ice massage for a given patient




4

Superficial Heat - Hydrocollator Packs


*Student reviews plan of care and ensures patient readiness for application of superficial heat




*Student inspects the patient’s skin prior to application of superficial heat, and ensures that the area is clear of clothing and jewelry


Implementation

Student positions patient in an appropriate and comfortable position for application of superficial heat


Student chooses hydrocollator pack(s) of appropriate size and shape to match the patient’s body part

*Student ensures that hydrocollator pack(s) is/are at an appropriate temperature

*Student insulates the hydrocollator pack(s) with six to eight layers of towel or three to four layers of commercial terrycloth covering

Student securely applies superficial heat for an appropriate duration, based upon the established plan of care





Follow Up





Student describes clinical indications and rationale for the use of superficial heat

Student describes how changes in treatment parameters may affect the patient’s experience with and response to superficial heat




5

Superficial Heat - Paraffin


*Student reviews plan of care and ensures patient readiness for application of paraffin




*Student ensures that paraffin bath is at an appropriate temperature

*Student inspects the patient’s skin prior to application of paraffin, and ensures that the area is free of clothing and jewelry


Implementation

Student instructs patient to immerse hand in paraffin bath for 8 – 10 repetitions, being sure not to touch the surface of the bath

Student wraps patient’s hand in plastic wrap/bag and towel

Student position’s patient’s hand in an elevated position to minimize edema formation

Student applies paraffin to the patient for an appropriate duration based upon the established plan of care





Follow Up





Student describes clinical indications and rationale for the use of praraffin

Student describes how changes in treatment parameters may affect the patient’s experience with and response to paraffin




6

Therapeutic Ultrasound


*Student reviews plan of care and ensures patient readiness for application of therapeutic ultrasound




*Student inspects ultrasound equipment to ensure that it is in proper working order prior to application of therapeutic ultrasound

Student prepares ultrasound equipment prior to application of therapeutic ultrasound

*Student inspects and cleans the patient’s skin prior to application of ultrasound, and ensures that the area is free of clothing and jewelry


Implementation

Student positions patient in an appropriate and comfortable position for application of therapeutic ultrasound (Body part should be placed underwater if underwater ultrasound is to be administered)


Student applies a sufficient amount of coupling agent to the patient’s skin (Student may use a medical couplant is phonophoresis is being administered)

Student sets therapeutic ultrasound treatment parameters based upon the established plan of care

Student correctly applies sound head to patient’s skin and moves sound head at an appropriate rate and over an appropriate surface area

Student provides appropriate patient instructions during intervention




Follow Up





7


Student describes clinical indications and rationale for the use of therapeutic ultrasound

Student describes how different treatment parameters may affect the patient experience and outcomes




8

Electrical Stimulation

S U NA Skill Component

Equipment & Patient Preparation

*Student reviews plan of care and ensures patient readiness for application of electrical stimulation





*Student inspects and cleans the patient’s skin prior to application of electrodes, and ensures that the area is free of clothing and jewelry


*Student inspects electrical stimulation equipment to ensure that it is in proper working order prior to application of electrical stimulation

Student prepares electrical stimulation equipment prior to application of electrical stimulation

Implementation

Student positions patient in an appropriate and comfortable position for application of electrical stimulation


Student performs electrical stimulation for: NMES; IFC; TENS using the following procedures

Student chooses an appropriate number and size of electrodes based upon the goals of the intervention

Student applies electrodes to patient’s skin in an appropriate location, based upon the established plan of care

Student sets electrical stimulation treatment parameters based upon the established plan of care

Student increases electrical stimulation amplitude to an appropriate level based upon patient safety, comfort, and the goals of the intervention





Follow Up





9


Student describes clinical indications and rationale for the use of electrotherapy

Student describes how changes in treatment parameters may affect the patient’s experience with and response to electrotherapy




10

Hydrotherapy - Aquatic Therapy


*Student reviews plan of care and ensures patient readiness for aquatic therapy



*Student explains intervention to patient, confirms that patient understands intervention and expectations, and obtains consent to implement intervention

Student ensures that water and ambient air temperatures are appropriate for aquatic therapy

Implementation

Student implements shallow, mid-level, and deep water exercises for purposes of patient conditioning, based upon the established plan of care


Student identifies any barriers to learning and adjusts instructional techniques to meet the patients learning style, as needed




Follow Up



Student accurately and thoroughly documents intervention, including: required level of patient assistance and modifications to intervention


Student describes clinical indications for aquatic therapy

Student explains the rationale for performing aquatic therapy for a given patient

Student explains how aquatic therapy exercises could be progressed for a given patient



11

Traction - Home Cervical


Student reviews plan of care and ensures patient readiness for implementation of home cervical traction

Student applies knowledge of contraindications and precautions for the selected intervention


Students explains intervention to patient, confirms that patient understands intervention and expectations, and obtains consent to perform intervention

*Student inspects traction equipment to ensure that it is in proper working order prior to application of cervical traction

Student prepares traction equipment prior to application of cervical traction

Implementation

Student instructs patient how to check that traction equipment is in proper working order prior to implementation of cervical traction

Student instructs patient in correct patient positioning for cervical traction

Student instructs patient how to correctly apply cervical traction unit to head and neck

Student instructs patient in correct selection and application of cervical traction treatment parameters, based upon the established plan of care

Student ensures that patient can monitor self for safety during intervention

Student ensures that patient can safely remove cervical traction unit from head and neck

Student ensures that patient is able to properly care for cervical traction unit






Follow Up





12


Student describes clinical indications and rationale for the use of home cervical traction

Student describes how changes in treatment parameters may affect the patient’s experience with and response to cervical traction




13

Traction - Mechanical Cervical


Student reviews plan of care and ensures patient readiness for implementation of mechanical cervical traction





Student prepares traction equipment prior to application of cervical traction

Implementation

Student positions patient in an appropriate and comfortable position

Student ensures that traction apparatus is securely applied to patient’s head and neck

Student adjusts traction apparatus to the appropriate angle of pull based upon the established plan of care

Student selects appropriate treatment parameters, including duration, static/intermittent, and poundage, based upon the established plan of care

Student provides patient with emergency shut off button prior to implementation of cervical traction






Follow Up





Student describes clinical indications and rationale for the use of cervical traction

Student describes how changes in treatment parameters may affect the patient’s experience with and response to cervical traction




14

Traction - Mechanical Lumbar


Student reviews plan of care and ensures patient readiness for implementation of mechanical lumbar traction





Student prepares traction equipment prior to application of lumbar traction

Student weighs patient and verifies weight of patient.

Implementation

Student positions patient in an appropriate and comfortable position

Student ensures that traction apparatus is securely applied to patient’s torso and pelvis at the correct spinal level

Student adjusts traction apparatus to the appropriate angle of pull based upon the established plan of care

Student selects appropriate treatment parameters, including duration, static/intermittent, and poundage, based upon the established plan of care

Student provides patient with emergency shut off button prior to implementation of lumbar traction






Follow Up





Student describes clinical indications and rationale for the use of lumbar traction

Student describes how changes in treatment parameters may affect the patient’s experience with and response to lumbar traction




15

Compression Therapy - Compression Bandages


*Student reviews plan of care and ensures patient readiness for application of compression bandages





Implementation

Student positions patient in an appropriate and comfortable position for application of compression therapy



Student ensures that the area is free of clothing and jewelry

Student assesses patient’s ability to report sensory changes

Student selects appropriate type and size of compression bandages based upon the established plan of care

Student correctly wraps patient’s limb with compression bandages

Student checks patient’s sensation and pulse while limb is wrapped

Student instructs patient to wear bandaging for an appropriate duration, based upon the established plan of care






Follow Up






Student describes clinical indications for the use of compression

Student explains the rationale for using compression bandages for a given patient




16

Compression Therapy - Compression Garments


*Student reviews plan of care and ensures patient readiness for application of compression garments





Implementation






Student selects appropriate type and size of compression garment based upon the established plan of care

Student correctly applies compression garment to patient’s limb

Student checks patient’s sensation and pulse while garment is applied

Student instructs patient to wear garment for an appropriate duration based upon the established plan of care






Follow Up







Student explains the rationale for using compression garments for a given patient




17

Compression Therapy - Pneumatic Pump


*Student reviews plan of care and ensures patient readiness for application of a pneumatic pump





Student inspects pneumatic pump to ensure that it is in proper working order prior to application of compression therapy

Implementation






Student instructs patient in expectations during application of compression therapy

Student prepares pneumatic pump prior to application of compression therapy

Student inflates pump to an appropriate pressure based upon the established plan of care

Student elevates patient’s limb during compression therapy to minimized edema

Student administers compression therapy for an appropriate duration based upon the established plan of care






Follow Up






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Student explains the rationale for using a pneumatic pump for a given patient




19

Therapeutic Massage


*Student reviews plan of care and ensures patient readiness for application of therapeutic massage




Student ensures that the body area is free of clothing and jewelry


Implementation

Student positions patient in an appropriate and comfortable position for application of therapeutic massage


Student applies appropriate type of massage stroke based upon the established plan of care. Students will be asked to perform:

Effleurage

Petrissage

Tapotement

Retrograde massage

Cross fiber massage

Student applies appropriate pressure to achieve established goals of therapeutic massage





Follow Up





Student describes clinical indications and rationale for the use of therapeutic massage

Student describes how different massage methods may affect the patient experience and outcomes




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Skills Competencies

At the conclusion of this course, students will successfully complete these skill competencies. 100% of the skill components and critical elements must be satisfied in order to have the competency ‘checked off.’ Failure to complete all skills competencies for this course will result in no grade being issued for the course. Students may not participate in clinical education courses until all clinical competencies scheduled prior to clinical education have been successfully completed.

STUDENT COMPETENCY DATE SIGNATURE OF INSTRUCTOR

Cryotherapy – Cold Packs

Cryotherapy – Ice Bath

Cryotherapy – Ice Massage

Superficial Heat – Hydrocollator Pack

Superficial Heat – Paraffin

Therapeutic Ultrasound

Electrical Stimulation

Hydrotherapy – Aquatic Therapy

Traction – Home Cervical

Traction – Mechanical Cervical

Traction – Mechanical Lumbar

Compression Therapy – Compression Bandages

Compression Therapy – Compression Garments


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Compression Therapy – Pneumatic Pump

Therapeutic Massage

pta 153: physical agents & massage skills … 153: physical agents & massage skills...

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