高棻 銀髮復健運動與健康老化部落格(Gofen geriatric physiotherapy and healthy ageing blog)

因為在澳洲,物理治療師是有獨立開業的資格的, 換句話說病人不需要有醫師診斷,即可直接至物理治療所就診. 也因此, 物理治療師必須具備一定的評估與鑑別診斷能力. 例如, 懷疑病人的疼痛,可能不單純是肌肉骨骼問題, 其他疾病轉移的可能,必須一一排除,或進一步轉介醫師.

筆者在準備澳洲物理治療師骨科考試的期間, 發現以下的一個list 清單, 挺簡單明瞭的, 藉此與大家分享:

<Background information>

1. Status of joints/muscles
2. Any previous surgery or medical problems such as DM, Cardiovasular concerns
3. Work related injury
4. Motivation, Comprehenension, insurance..etc

<Subject information>

1. Level of funcation/assistance for past and present
2. Patient's goals
3. Pain: intensity, location, frequency, night pain?
4. Home setting
5. Access to rehab facilities
6. Medication

<Objective information>

1. Muscle wasting
2. Resting posture
3. Use of sling
4. Wound status
5. Swelling and colour
6. ROM
7. MMT

以上分享