Patient Compliance
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 30 January 2019
⏱️ 10 minutes
🧾️ Download transcript
Summary
Heather has a past medical history of hypothyroidism and is being treated for deconditioning. The patient reports that she is not taking her medications and would like to stop exercising.
The physical therapist is challenged with determining the correct and the best course of action to remedy this situation.
How well can you handle difficulty patient compliance situations? Let's test your ability in this excellent episode about patient compliance.
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files to mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT |
| 0:12.3 | PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching |
| 0:17.3 | Program. And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Heather. And Heather |
| 0:32.6 | is a 45-year-old female with a past medical history of hypothyroidism. Over the past week, the therapist |
| 0:40.8 | has noticed a regression in the patient's conditioning. The patient reports that she is not taking |
| 0:47.3 | her cynthroid and no longer wants to continue exercise because she doesn't see the point. Which of the following is the best course of action? |
| 0:56.5 | So we have A, request that the patient schedule an appointment with the PCP immediately. |
| 1:02.3 | B, decrease the exercise intensity. C, educate the patient on how exercise is the most critical |
| 1:09.6 | component of her recovery. And D, educate the patient on the |
| 1:13.1 | importance of taking her synthroid as prescribed, and its effects on energy levels and mood. |
| 1:20.2 | All right, so we got some work to do with this one. |
| 1:23.4 | We got Heather, 45-year-old female past medical history of hypothyroidism. |
| 1:28.3 | Now, first of all, since we got the MPTE coming up, or whether you do or not, you have to |
| 1:34.0 | understand hypothyroidism. |
| 1:35.8 | It's one of those conditions in that other systems domain that you just have to know. |
| 1:41.1 | We have to know what the signs and symptoms are of it, what it really means to have it, and how did this affect us as physical therapist and what we do with the patient. |
| 1:49.1 | All right? So hypothyroidism is going to be an underfunctioning of the thyroid gland. |
| 1:54.7 | All right? We know that the thyroid is responsible for temperature regulation. It's responsible |
| 1:59.9 | for a major thing that our body does, |
... |
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