University of Scranton - Department of Physical Therapy
Edmund M. Kosmahl, PT, EdD
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ORTHOPAEDIC PT  - PT351
Dr. E. Kosmahl
 CASE STUDY REPORT GUIDELINES


Due Date:   - Friday, April 28, 2000 at noon.

Format:

Reports should be typed and double-spaced. The finished report should be of the same quality as a manuscript submitted for publication in a professional journal. Spelling, grammar, style, etc. will be considered when grading your report. Please READ INSTRUCTIONS FOR AUTHORS published periodically in PHYSICAL THERAPY and articles published in PHYSICAL THERAPY for examples of acceptable format and style.

Instructions for Authors - Physical Therapy -

http://www.apta.org/pt_journal/aut_info.html

Manuscript Preparation - Journal of the American Medical Association -

http://www.ama-assn.org/public/journals/jama/instruct.htm#preparation

Requirements:

1. Title page - The words "ORTHOPAEDIC PT CASE STUDY", your name, the date submitted, and the course number (PT351) should appear.

2. Problem statement - On the title page, type the problem number and re-type the problem and referring diagnosis word for word.

3. Evaluation - Start the evaluation on a separate page. The following components must be included:
 

a. History and Subjective Report

b. Objective - list the tests/examinations you would perform, and report the findings. For some of the problems, findings are included, but for most, you will have to make up findings. Findings must be consistent with information given in the problem. For example, if the problem stated that the patient was a 71 year old woman who sustained a fracture of the distal radius and was immobilized in a cast for 8 weeks, it would be unlikely to examine wrist range of motion and find full passive range.

c. Assessment - Give a clear explanation of your assessment of the problem. Start with a paragraph that states your "physical therapy diagnosis". An example of a physical therapy diagnosis might be "left posterior-lateral bulge of the L4-L5 intervertebral disk. Cite evidence (from your examination findings) to substantiate your diagnosis. Next list all of the functional problems that your examination revealed. Examples of functional problems are: limited range (list the joint(s) and specific direction(s)), specific weaknesses, inability to do a specific functional task, etc.
 

4. Goals - Start the goals on a separate page. List long and short term goals. Goals should be realistic. List a reasonable time frame for achievement of each goal. Long term goals are what you expect the patient to be able to do when discharged from your care. An example of a long term goal might be: independent ambulation for unlimited distances without assistive devices (6 weeks). Short term goals are component goals that support the long term goals. An example would be: increase range of motion of right knee 5 degrees per week until full range is attained.

5. Plan - Start the plan on a separate page. List the treatments that will be given to accomplish the goals. Index the treatments to the goals. Justify your treatment plan with references to the literature (course texts, course notes, or journal articles are acceptable). Use PHYSICAL THERAPY format (see "format" above) for references.

  6. Report to Referring Physician - On ONE separate page, type a report to the referring physician. The quality and style should be appropriate for a letter reporting the initial PT evaluation findings to the referring physician. The report should include:
  a. patient identification
b. summary of referral information (age, referring diagnosis, PT orders, etc.)
c. summary of your assessment findings
d. your recommendations  
7. References - Put the reference list on a separate page. See "format" above for details on reference format.
Grading:
 
ITEM
POINTS
Grammar, Spelling, Style 5
Format
5
Title Page
5
Problem Re-statement
5
History and Subjective
10
Objective
10
Assessment
20
Goals
10
Plan
20
Report
10
TOTAL
100

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