TPSS Basic Ratings Prerequisite Training

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TPSS Basic Ratings Prerequisite Training

• Course Presentation

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About This Course

• Prerequisite to Basic Ratings Training
• Role of the Rating Specialist
• Lesson 1 Medical Terminology
• Lesson 2 Use of the Rating Schedule
• Course Benchmark Activity
• Lecture, discussion, cooperative exercises

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Objectives

• Effective use of the Rating Schedule
• Interpret medical terminology related to body
  parts and body systems
• Interpret medical terminology related to position
  and direction of the condition, planes of
  movement, and body areas

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Objectives

• Interpret Treatment and Examination Reports
• Locate disabilities and diagnostic codes in the
  Rating Schedule

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Role of the Rating Specialist

• Responsibilities
• Conduct and Attitude

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Medical Terminology

• Origins and History
• Based on ancient Greek and Latin
• Cirrhosis kirrhos (Greek)
• Maxilla maxillaris (Latin)
• Mandible mandere (Latin)
• Myopia myein (Greek), ops (Greek)

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Medical Terminology

• Based on ancient Greek and Latin (cont.)
• Porphyria Cutanea Tardaporphyra (Gr.), cutis
  (Lt.), tardus (Lt.)
• Venogramvena (Lt.), graphein (Gr.)
• Zygoma zugoun (Gr.)

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Medical Terminology

• Based on Personal Names
• Alzheimers disease German
  neurologist, Alois Alzheimer
• Hodgkins disease
  English physician, Thomas Hodgkin

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Medical Terminology

• Based on Word Parts
• Roots - basic meaning of the word
• Suffixes - modify the word
• Prefixes - modify the word
• Combining vowel - connects various word parts
  together

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Word Part Example

• CARDIAC card - i - ac
• the word root card means heart
• the suffix -ac means pertaining to
• the combining vowel i is used to join the suffix
  with the word root
• means pertaining to the heart

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Word Part Example

• HEPATITIS hepat - itis
• The word root hepat means liver
• The suffix -itis means inflammation of
• literally means an inflammation of the liver

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Word Part Example

• PULMONOLOGIST pulmon - o - logist
• The word root pulmon means lung
• The suffix -logist means one who studies
• An individual skilled in the study of the lungs

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Word Part Example

• TACHYCARDIA tachy -card -ia
• The word root card means heart
• The prefix tachy means rapid
• The suffix ia means abnormal state
• A rapid heart rate

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Word Part Example

• OSTEOARTHRITIS oste - o - arthr/itis
• The word root oste means bone
• The word root arthr means joint
• The suffix -itis means inflammation of
• The combining vowel is o
• A degenerative joint disease

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Learning Activity

• Work in pairs
• Person A read the first word part, meaning,
  example on the list out loud
• Person B read the second out loud
• Continue taking turns until all words on the list
  have been read
• Star any words that were difficult to pronounce

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Word Parts List

• Word parts related to body structure and systems
  Examples
  
• acr/o limbs acromegaly, enlargement of hands
  and feet
• aden/o gland adenocarcinoma, cancer derived
  from glandular tissue
• arthr/o joint arthroscopy, a visual study of a
  joint

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Word Parts List

• Word parts related to body structure and systems
  Examples
  
• chondr/o cartilage costochondritis,
• inflammation of junction of rib and
  cartilage
• -emia blood condition hypoproteinemia,
  abnormally low protein in the blood
• gastro/o stomach gastritis, inflammation
  of the stomach

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Word Parts List

• Word parts related to body structure and systems
  Examples
  
• lumb/o lower back lumbar, pertaining to
  low back
• my/o muscle fibromyalgia, painful
  fibromuscular tissue
• myel/o bone marrow osteomyelitis,
  inflammation of bone
• and bone marrow

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Word Parts List

• Word parts related to disease, injury, and
  medicine Examples
  
• dys- difficult dysphagia, difficulty
  swallowing (phage--to eat)
• eti/o cause of disease etiology, study of
  causes of diseases
• -itis inflammation pancreatitis,
  inflammation of
  the pancreas

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Word Parts List

• Word parts related to disease, injury, and
  medicine Examples
• malacia- softening osteomalacia, softening
  of the bones
• -osis abnormal ankylosis, inability of
  condition motion (ankylo-- crooked
  stiff or bent)
  asbestosis, abnormal
  condition involving
  asbestos

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Word Parts List

• Word parts related to disease, injury, and
  medicine Examples
• tachy- fast, rapid tachycardia, rapid heart
  rate
• cyan/o blue cyanosis, abnormal blue condition
• ex/exo out of exostosis, a bony growth
  projecting outward from the surface of the
  bone

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Exercise 1 Medical Terminology

• Work in pairs
• Follow directions in your trainee workbook
• Determine the meaning of medical terms/conditions
  by breaking them into word parts
• Example on next slide
• 30 minutes

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Exercise 1 - Example

• Chondromalacia
• Arthritis

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Other Related Terms

• Planes of movement
• Positional and directional terms
• Body area terms

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What are we looking at?

• -scopy to visually examine
• Colonoscopy
• Esophagoduodenoscopy
• Gastroscopy
• Otoscopy
• Laryngoscopy

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What was removed?

• -ectomy to surgically remove
• -tomy to cut out
• Appendectomy
• Discectomy
• Hemigastrectomy

• Oophorectomy
• Nephrectomy
• Lithotomy

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What hurts?

• -algia pain
• Neuralgia
• Arthralgia
• Fibromyalgia
• Metatarsalgia

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What is enlarged or abnormal?

• -megaly enlarged
• -osis adnormal condition
• Hepatosplenomegaly
• Cardiomegaly
• Nephrosis

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What was repaired?

• -orrhaphy surgical repair
• -plasty surgical treatment, repair
• Otoplasty
• Herniorrhaphy
• Rhinoplasty

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What is wrong?

• -emia blood
• -itis inflammation of
• Otitis Media
• Hypoglycemia

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What is wrong?

• -orrhagia rapid flow of blood
• -orrhea flow, excessive discharge
• Otorrhea
• Dysmenorrhea
• Hemorrhage

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Where is it?

• Parathyroid
• Pericadium
• Substernal
• Subcutaneous
• Transdermal

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Define the following

• Arthrotomy
• Dermatitis
• Pneumogastric
• Hypoplasia
• Hypotension
• Hypertension
• Leukocytopenia

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Specialist in what?

• Audiologist
• Gynecologist
• Endocrinologist
• Gastroenterologist
• Oncologist

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What does this mean?

• Tenderness over the lateral proximal 5th
  metatarsals bilaterally
• Coronary thrombosis due to peptic ulcer disease
  post subtotal gastrectomy
• Residual fracture left maxilla and zygomatic arch

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Exercise 2

• Work in teams
• Follow directions in your trainee workbook
• Instructor provides answers Contestant derives
  question
• Record questions on blank paper
• Team with most correct questions wins
• 90 minutes

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• 1. Term that means both sides
• 2. A suffix meaning inflammation
• 3. The procedure for removal of the uterus
• 4. The dorsal aspect of the hand
• 5. Description of Fibromyalgia

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• 6. An abnormal lung condition involving
  asbestos
• 7. Underactivity of the parathyroid gland
• 8. The meaning of hypertropia
• 9. Definition of Pancreatectomy

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• 10. Term meaning low blood sugar
• 11. The abnormal condition of water on the
  kidneys
• 12. Term meaning abnormal condition of
  hardening of the arteries
• 13. Test for measurement of hearing acuity

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• 14. A fat tumor
• 15. Meaning of esophagoduodenoscopy
• 16. Term for removal of half of the stomach
• 17. Term for paralysis of one side of the body
• 18. The meaning of Hepatic

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• 19. Term for decreased level of white blood
  cells
• 20. A prefix meaning new
• 21. The meaning of Myocardial
• 22. A disease of the glands
• 23. The meaning of Hypertrophy

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• 24. The straightening of a flexed extremity
• 25. The act of bending or decreasing the
  angle at the joint between two bones
• 26. Enlargement of liver and spleen
• 27. The term for a tumor of bone marrow

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• 28. The meaning of Adenocarcinoma
• 29. The meaning of hypoproteinemia
• 30. Complete inability to move a joint due to
  disease, injury, or surgery
• 31. The meaning of tarsal
• 32. Body parts contained in the Thoracic cavity

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Treatment Reports

• Abbreviations
• Tests, Signs, and Reflexes
• Treatment Report Information
• Summary and history of the disease
• Objective findings on exam
• Assessment - the clinical impression of the
  diagnosis
• Plan for treatment

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Exercise 3 - Treatment Records

• Work in groups
• Follow directions in your trainee workbook
• Locate abbreviations/medical terms/and
  information on the treatment records
• 45 minutes

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Rating Schedule Reading

• Cooperative reading groups
• Read Purpose and Historical Development section
  in your trainee workbook
• Read the first paragraph, then discuss what you
  read
• Take turns leading the discussion, i.e.,
  summarizing what you have read

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Organization of the Rating Schedule

• Divided into 15 body systems
• General Policy Chapter
• Table of Contents
• Indices
• Index 1 - by section
• Index 2 - alphabetical

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Organization of the Rating Schedule (cont.)

• Appendices
• A - table of amendments and effective dates
• B - numerical index of disabilities listed
  by diagnostic codes
• C - alphabetical index of disabilities
• Page Layout
• Supplements

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Rating Schedule Example

• Rating Code - 7913
• Disability - Diabetes Mellitus
• Chapter - Endocrine System

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Rating Schedule Example

• Disability - Hiatal Hernia
• Rating Code - 7346
• Chapter - Digestive System

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Exercise 4 -
Rating ScheduleScavenger Hunt

• Work in groups
• Follow directions in your trainee workbook
• Given a disability, determine the diagnostic code
  and body system
• Given a diagnostic code, determine the disability
  and body system
• 50 minutes

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General Paragraphsof the Rating Schedule

• Assigning Evaluations
• Interpretation of Examination Reports
• Use of Diagnostic Code Numbers

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Course Benchmark

• Complete treatment record exercises
• Answer questions on the answer sheet
• Receive feedback from Instructor