Purpose: Directs physical therapy treatment toward preventing disability, relieving pain, developing, improving and/or restoring muscle function and maintaining maximum performance within the client’s capabilities in accordance with the plan or care/treatment. Oversees physical therapy assistants to assure appropriate implementation of the plan of care.
1. Evaluates the client’s level of function by applying diagnostic and prognostic muscle, nerve, joint, and functional abilities tests.
2. Evaluates the home environment for rehabilitation and makes appropriate recommendations to increase the independence of the client.
3. Supplies physical therapy services in the home as prescribed by a physician.
4. Administers manual therapeutic exercises; instructs, motivates, and assists clients in non-manual exercises and functional activities.
5. Administers traction, massage and treatments involving the application of physical agents.
6. Evaluates, fits and adjusts prosthetic and orthotic devices and recommends any modifications to the physician.
7. Participates in the development, review, and updating of the care plan.
8. Observes, records and reports any changes in the client’s condition and response to therapy and makes suggestions for changes in the plan of care to the client’s physician and Case Manager.
9. Prepares clinical records (initial evaluations – including OASIS, care plans, progress notes, discharge summaries) and submits them for the client’s clinical record.
10. Participates as a member of the interdisciplinary team in case conferences and in planning and evaluating the total treatment for the client, and confers with interdisciplinary team members as needed.
11. Advises and consults with the client/family and other agency personnel.
12. Submits orders and documentation (clinical and payroll) on a timely basis and according to branch policy.
13. Instructs and supervises Home Health Aides or CNAs/STNAs, as applicable, in certain phases of physical therapy services they may to the client.
14. Instructs the client/family in the use and care of physical therapy devices and on client’s total physical therapy program.
15. Instructs and supervises Physical Therapy Assistants in certain phases of physical therapy services they may provide to the client.
16. Supervises the Physical Therapy Assistant minimally as required by applicable state law.
17. Accessible to the Physical Therapy Assistant when a Physical Therapy Assistant is providing treatment to a client