You just completed a thorough examination of a patient who sustained a left knee injury with suspected
Question:
You just completed a thorough examination of a patient who sustained a left knee injury with suspected damage to the medial collateral ligament. You selected accurate clinical testing tools, applied critical thinking in differentiating findings, and documented the patient’s impairments and disabilities. You found (1) decreased passive and active range of motion into flexion secondary, in part, to wearing a long leg immobilizer for the past 10 days; (2) three-centimeter greater swelling around the joint center compared to the uninvolved side; (3) decreased strength and ability to volitionally contract the quadriceps femoris; and (4) pain rated at 6 out of 10 with palpation of the medial joint line of the knee.
Questions
1. Which limitation of body function or impairment do you work with first?
2. What do you choose to do? Do you choose a therapeutic modality? How do you decide?
3. What information do you use in your decision-making process?
4. Do you do what you have seen other clinicians do?
5. Do you do something that you have experience with and are comfortable with?
6. Do you choose an intervention based on convenience for the patient, for you, or for your
clinical environment?
7. Does cost of time and money play a role in your decision-making?
8. What about evidence in the literature to support your choice?
9. When do you decide to switch from one choice to another?
10. What do you plan to do in the first few weeks of rehabilitation versus the latter weeks?
11. What are your patient’s goals and expectations?
Managerial Accounting
ISBN: 978-0077522940
15th edition
Authors: Ray Garrison, Eric Noreen, Peter Brewer