SMED UNIT 5- MODALITIES AND LEGALITIES

Liability

responsible for the care of athletes Negligence

Liability

responsible for the care of athletes

Negligence

the failure to use ordinary or reasonable care

Scope of Practice

the procedures, actions, and processes that a healthcare practitioner is permitted to undertaken keeping with the terms of their professional license

Duty of Care

part of official job description

Nonfeasance/omission

act of omission/ when an individual fails to perform a legal duty

Malfeasance/commission

act of commission/ where an individual commits an act that is not legally theirs to perform

Misfeasance

when an individual improperly does something he or she has the legal right to do.

Tort

legal wrong committed against another

Statute of limitation

sets a specific length of time that individual may sue for damages from negligence

Assumption of risk

the individual, through expressed or implied agreement assumes some risk or danger will be involved in a particular undertaking. person takes his or her own chances.

FERPA

Family Educational Rights and Privacy Act

HIPPA

Health Insurance Portability and Accountability Act

ethics

moral principles that govern a persons behavior or the conduction of an activity

morals

a persons standards of behavior or beliefs concerning what is and is not acceptable for them to do

Evidence based practice (EBP)

the conscientious use of current best evidence in making decisions about patient care

Modality

a therapeutic method or agent that involves the physical treatment of a disorder

indications

a condition which makes a particular treatment or procedure advisable, WHEN TO USE

Contraindications

specific situation a procedure should not be used because it may be harmful to the person

Physiological effects

what actually happens in the cell of the body

Therapeutic effects

response(s) after a treatment of any kind; how the ATHLETE FEELS after

Thermotherapy

application of heat to treat traumatic injury

Cryotherapy

application of cold for first aid of trauma

Cryokinetics

combines cryotherapy (cold application) and exercise

PRICE

Protection, rest, ice compression, elevation

RICE

rest ice compression elevation

Personal ethics

what a PERSON believes about morality and right and wrong

Professional ethics

Standards of personal and business behavior, values and guiding principles

how to reduce the risk of litigation

preparation for the activity, conduct of the activity, injury management, records management

what are the 4 things that must be proved in order to be found negligent?

1. duty of care2. conduct fell short 3. caused the injury to occur4. resultant damages--personal, property, etc

how to protect yourself

liability insurance, continuing education, document, EAP, follow Dr orders, confidentiality, document, assumption of risk, build healthy relationships.

Potential hazards

failure to...-provide competent personnel-provide instruction-provide proper equipment -to warn-to supervise-improper treatment

HIPPA

regulates how any member of that sports medicine team who has health information about an athlete can share that information with others

HIPPA provides

-access to medical records -gives control on how info is used and disclosed- provides clear avenue of recourse if privacy is compromised

FERPA

A law that protects the privacy of student educational records

FERPA gives the right to

-inspect and review students education records maintained by the school-request corrections to inaccurate or misleading records -parents have rights and then transfer to student once they are 18

Who "needs to know" about an injury

coach, parents, significant other, ATC's, directing physicians

Cold modalities

Decrease blood flow, Decrease pain

Heat modalities

Increase blood flow, Decrease pain

ULtrasound

Increased heating, Increased blood flow

Electrotherapy

Muscle contraction, decrease pain

Massage

Increase blood flow, relaxation

Traction

decrease back and neck pain

Intermittent compression

decrease swelling

phases of healing

injury-day 4 RESPONSE day 4-week 6 REPAIR week 6- 2-3 years REMODEL

Physiological effects of cryotherapy

Decrease= muscle spasms, blood flow up to 10-15 minutes, inflammation, metabolic rate Increase= swelling prevention

Therapeutic effects of cryotherapy

Decrease pain, increase joint stiffness

Skin responses to Cryotherapy

STAGE 1= cold sensation 0-3 minutes STAGE 2= mild burning, aching 2-7 minutes STAGE 3= anesthesia 5-12 minutes

Advese conditions to cryotherapy

hypothermia, frostbite, cold allergies, Raynauds

contraindications to cryotherapy

lack of normal temperature sensability, cold hypersensitivity, Raynauds disease, CAD (coronary artery disease)

Methods

Ice massage (5-10 minutes), CWP (Ice immersion), and Ice pack (15-20 minutes)

Physiological effects of thermotherapy

Decrease= muscle spasms Increase= blood flow, metabolic rate, collagen elasticity

Therapeutic effects of thermotherapy

decrease pain, increase soft tissue extensibility

Adverse conditions to thermotherapy

burns, open wounds

Contraindications of thermotherapy

loss of sesnsations, immediately after injury, impaired circulation, directly to eyes, during acute inflammtion

convection

heat transferred though liquid (whirlpool)

Conduction

heat transfer through direct contact (heat pack)

Methods of thermotherapy

Warp WP, 98-110 degrees (10-20 minutes) Moist Heat Pack (20-30 minutes)

it is safe to switch from ice to heat when...

there is little to no chance of swelling, the injury is not tender to touch, any discoloration from injury is starting to dissipate

Electrical Stimulation

INDICATIONS= pain management, muscle RE-EDUCATION and contraction , fracture healing, increase ROM CONTRAINDICATIONS= pacemakers, thrombophlebitis, skin lesions/ hypersensitivity

ultrasound

INDICATIONS= soft tissue healing and repair, scar tissue, chronic inflammation, increase tissue extensibility, blood flow, protein synthesis, pain management CONTRAINDICATIONS= post acute condition, areas of decreased temperature sensation/circulation, eyes, reproductive organs, pregnancy, pacemakers, epiphysial areas in young children

Compression

INDICATIONS= acute inflammatory response, edema CONTRAINDICATIONS= diabetic conditions, heart conditions

Intermittent compression

INDICATIONS= hymphedema, traumatic edema, chronic edema, would healing after surgery CONTRAINDICATIONS= superficial infection, acute pulmonary edema, displace fractures

fascial tools

improving ROM, improving pain and function in injured patients CONTRAINDICATIONS= open wounds, high BP/ taking blood thinners, cancer, prengancy, unhealed fractures

vibe plate

INDICATIONS= improve balance, improve postural sway, recruit more muscle fibers CONTRAINDICATIONS= pregnancy, kidney/nladder stone, seizure/epilepsy, pacemaker

laser

INDICATIONS= pain managemnt, facilitate wound healing CONTRAINDICATIONS= pregnancy, eyes

Cupping

ancient technique of healing by applying cups to selected skin point and creating a sub atmospheric pressure by heat or suction

cupping

INDICATIONS= promote blood circulation, health promotion in neck, low back and knee pain, systemic disease CONTRAINDICATIONS= skin inflammation, skin lesions, eyes, open wounds, bone fractures, DVT, cancer patients, organ failure, pace makers, blood disorders,