Power Point Presentation to Accompany 2011 Delmar Cengage

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Power. Point Presentation to Accompany © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage

Power. Point Presentation to Accompany © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning

Chapter 6 The Pre-Participation Physical Examination © 2011 Delmar, Cengage Learning © 2010 Delmar,

Chapter 6 The Pre-Participation Physical Examination © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 2

Objectives • Upon completion of this chapter, you should be able to: – Discuss

Objectives • Upon completion of this chapter, you should be able to: – Discuss the needs and overall goals of the pre -participation physical examination – Distinguish between office-based and stationbased exams – List the important components of the preparticipation physical examination © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 33

Objectives (cont’d. ) • Upon completion of this chapter, you should be able to

Objectives (cont’d. ) • Upon completion of this chapter, you should be able to (cont’d. ): – Describe the clearance process for athletic examinations – Discuss confidentiality concerns with recordkeeping © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 44

The Pre-Participation Physical Examination (PPE) • Originally consisted of a short physical, often less

The Pre-Participation Physical Examination (PPE) • Originally consisted of a short physical, often less than five minutes – Today, it can be a comprehensive assessment of an athlete’s overall health and ability to perform • Goal is to maintain health and safety of the athlete © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 55

The PPE (cont’d. ) • Timing – Should take place at least six weeks

The PPE (cont’d. ) • Timing – Should take place at least six weeks prior to the beginning of the athlete's sport season • End of school year through mid-summer – Any athlete rehabilitating over the summer must be reevaluated © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 66

The PPE (cont’d. ) • Station-based PPE – Examination by several different specialists •

The PPE (cont’d. ) • Station-based PPE – Examination by several different specialists • Each responsible for one aspect – Includes medical history and basic measurements of blood pressure, height, weight, and eyesight © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 77

The PPE (cont’d. ) • Station-based PPE (cont’d. ) – Specialists often include: •

The PPE (cont’d. ) • Station-based PPE (cont’d. ) – Specialists often include: • • • Family physicians Orthopedic specialists Physical therapists Athletic trainers Podiatrists Pediatrician © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 88

The PPE (cont’d. ) • Station-based PPE (cont’d. ) – Advantages: • Low cost

The PPE (cont’d. ) • Station-based PPE (cont’d. ) – Advantages: • Low cost • Athlete will see several different sports medicine specialists throughout the exam process – Disadvantages: • Difficulty of recruiting volunteer physicians • Finding a facility © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 99

The PPE (cont’d. ) • Office-based PPE – Traditional doctor’s office – Family physician

The PPE (cont’d. ) • Office-based PPE – Traditional doctor’s office – Family physician usually has patient's complete medical history as a basis – Quiet setting © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 1010

Components of the PPE • Medical history is the cornerstone – Identifies about 75%

Components of the PPE • Medical history is the cornerstone – Identifies about 75% of problems affecting athletes • Recommended baseline: – Medical conditions and diseases – Surgeries and hospitalizations – Medications – Allergies © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 1111

Components of the PPE (cont’d. ) • Recommended baseline (cont’d. ): – Immunization status

Components of the PPE (cont’d. ) • Recommended baseline (cont’d. ): – Immunization status – Menstrual history – Pulmonary status – Neurological status – Musculoskeletal status – Injuries or illness since last exam © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 1212

Components of the PPE (cont’d. ) • Standard components: – Height – Weight –

Components of the PPE (cont’d. ) • Standard components: – Height – Weight – Pulse – Blood pressure – Eyes, ear/nose/throat, heart, abdomen, genitalia (males only), skin, and musculoskeletal © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 1313

Clearance for Participation in Sports • Three categories: – Unrestricted clearance – Clearance after

Clearance for Participation in Sports • Three categories: – Unrestricted clearance – Clearance after completion of further evaluation or rehabilitation – No clearance for certain types of sports or for all sports © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 1414

Clearance for Participation in Sports (cont’d. ) • Sports are classified based on degree

Clearance for Participation in Sports (cont’d. ) • Sports are classified based on degree or level of contact and strenuousness – Contact or collision sports – Limited contact sports – Noncontact sports © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 1515

Recordkeeping • Managing resulting information is crucial – Information must be made available to

Recordkeeping • Managing resulting information is crucial – Information must be made available to coaches, trainers, and the athletic director – All information contained on the PPE form must be kept strictly confidential • Secured in the office or under lock and key • Should be kept for a minimum of seven years © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 1616

Conclusion • The PPE has evolved to become a comprehensive approach to medical assessment

Conclusion • The PPE has evolved to become a comprehensive approach to medical assessment – Can be either office-based or station-based – Determining clearance is the most important PPE result – The ultimate goal of the PPE is to allow athletes to compete safely © 2011 Delmar, Cengage Learning © 2010 Delmar, Cengage Learning 1717