DRL - Professional Yoga Therapy Scope of Practice
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Resource:

Professional Yoga Therapy Scope of Practice
Ginger Garner
Executive Director,
PYTS
   
Attachments:     Size
Professional Yoga Therapy Scope of Practice.pdf 45 KB
SCOPE OF PHYSICAL THERAPY PRACTICE.pdf 43.5 KB

Source of Submission

Resource Type:

- IAYT Resource to Share

Description of Resource

Group:

Submission of PYTS scope of practice and Member Schools and the
an excerpt from the NC Physical Therapy Educational Standards
Practice Act - for STSC September
meeting

Created:

09/04/2008

Topics

- Other Topics Not Shown (yet)

License:

License

Methodology

- Other

Member Schools and Council of

Schools Initiative

- Other Meeting Notes


File Content: Professional Yoga Therapy Scope of Practice.pdf

File Content: SCOPE OF PHYSICAL THERAPY PRACTICE.pdf




This document is being submitted as a part of the STSC’s task for members to submit their schools’ scope of practice for graduates. This document includes our CYT program’s requirements for graduation, as well as the scope of practice for the CYT (Certified Yoga Therapist). Professional Yoga Therapy™ CYT program Requirements for graduation: 1. Our prerequisites allow for an elevated environment of learning and application as clinicians can intimately intertwine their knowledge of western medicine with the art and science of yoga therapy and Ayurveda. Prerequisites (in western medicine training*) to apply to CYT program - a minimum of 4 semesters of coursework in human anatomy, physiology, patient care and management, evidence based practice, psychology, and related coursework to total); Licensed in a health care field; *There are also prereq’s required in eastern studies- i.e. yoga/yoga therapy/teaching 2. Completion of 4 levels of course modules (there is an advanced PYT program which requires an additional 4 levels of training [PYT V-VIII]): PYT™ I – 31 hours; II- 31 hours; III - 56 hours; IV - 67 hours 3. All written tests passed with a minimum 75%. 4. 4 oral practicals passed. 5. 21 case studies completed. 6. Graduate thesis completed that is ready for submission to a professional peer-reviewed medical journal. 7. All non-contact hours completed (varies per student) 8. All annual CE requirements completed (100 hours annually for each year in program) 9. Current medical license in the state of practice. 10. Application for graduation form submitted. 11. Exit exam for graduation must be completed and passed with a minimum 75%. 12. Approval of the Executive Director that student is ready to graduate and practice as a Certified Yoga Therapist in the PYT method. Scope of practice for CYT graduates: 1. Evaluate and treat patients in the young adult and adult demographic using the PYT™ model. 2. Consider and be able to complete dosha testing and lifestyle screening which could include nutritional recommendations but does not include any herbal recommendations or prescription. 3. Determine a yoga therapy impression in order to be able to design a yoga therapy management program based on the koshas.* *Clinicians/therapists whose license allows them to diagnose and treat will abide by their own professional scope of practice as an adjunct to their practice of evaluation and design of treatment plans as a certified yoga therapist under their CYT scope of practice. 4. Design a yoga therapy management program complete with listing problems as found during the evaluation and including short and long term goals with included time frames. All of this is based on objective findings while compassionately considering patients’ personal desires and needs. 5. Maintain a good professional rapport and dialogue with western medical professionals. This relationship already exists, but needs to be maintained and explored further, for our graduates since they are already western medical professionals in addition to being certified yoga therapists. 6. Keep formal documentation (SOAP notes) and communicate with the referring practitioner or other involved practitioners concerning patient initial evaluation, progress, re-evaluations, and discharge. 7. Follow their own practice act and scope of practice for their professional license. This includes carrying out any diagnostic testing as part of their clinical expertise and license which may aid in their yoga therapy impression and program design. 8. Follow the PYTS Code of Ethics and precepts of PYT™, which they have signed and made a formal commitment to follow in order to complete their CYT training and subsequently apply to their practice as a Certified Yoga Therapist. 9. Be prepared to fill a supervisory role of non medically licensed yoga therapists whose patient demographic may have complicated medical histories and/or require direct regular contact with a medically licensed yoga therapist/health care professional who has completed a medical post-graduate level, evidence based yoga therapy program (like the CYT program) and can give consent for yoga therapy programming which may affect the patients’ medical condition/health. *This proposed supervisory role is an attempt to protect the consumer of yoga therapy who may have a complicated medical history or history of present illness which lies outside the scope of a non medically licensed yoga therapist without specialized training. 10. Carry PYT™ into western health care settings via their unique training. 11. Teach yoga and yoga therapy within the healthy community in addition to their patient care demographic.
SCOPE OF PHYSICAL THERAPY PRACTICE submitted by G. Garner and last edited on September 3, 2008 PERMITTED PRACTICE (a)  Physical therapy is presumed to include any acts, tests, procedures, modalities, treatments, or interventions that are routinely taught in educational programs or in continuing education programs for physical therapists and are routinely performed in practice settings. (b)  A physical therapist who employs acts, tests, procedures, modalities, treatments, or interventions in which professional training has been received through education or experience is considered to be engaged in the practice of physical therapy. (c)  A physical therapist must supervise physical therapist assistants, physical therapy aides, PT students and PTA students to the extent required under the Physical Therapy Practice Act and the rules in this Chapter.  Physical therapy aides include all non-licensed individuals aiding in the provision of physical therapy services. (d)  The practice of physical therapy includes tests of joint motion, muscle length and strength, posture and gait, limb length and circumference, activities of daily living, pulmonary function, cardio‑vascular function, nerve and muscle electrical properties, orthotic and prosthetic fit and function, sensation and sensory perception, reflexes and muscle tone, and sensorimotor and other skilled performances; treatment procedures such as hydrotherapy, shortwave or microwave diathermy, ultrasound, infra‑red and ultraviolet radiation, cryotherapy, electrical stimulation including transcutaneous electrical neuromuscular stimulation, massage, debridement, intermittent vascular compression, iontophoresis, machine and manual traction of the cervical and lumbar spine, joint mobilization, machine and manual therapeutic exercise including isokinetics and biofeedback; and training in the use of orthotic, prosthetic and other assistive devices including crutches, canes and wheelchairs.  Physical therapy further includes: (1)           examining (history, system review and tests and measures) individuals in order to determine a diagnosis, prognosis, and intervention within the physical therapist's scope of  practice.  Tests and measures include the following: (A)          aerobic capacity and endurance; (B)           anthropometric characteristics; (C)           arousal, attention, and cognition; (D)          assistive and adaptive devices; (E)           community and work (job/school/play) integration or reintegration; (F)           cranial nerve integrity; (G)           environmental, home, and work (job/school/play) barriers; (H)          ergonomics and body mechanics; (I)            gait, locomotion, and balance; (J)            integumentary integrity; (K)          joint integrity and mobility; (L)           motor function; (M)         muscle performance; (N)          neuromotor development and sensory integration; (O)          orthotic, protective and supportive devices; (P)           pain; (Q)          posture; (R)           prosthetic requirements; (S)           range of motion; (T)           reflex integrity; (U)          self-care and home management; (V)           sensory integrity; and (W)         ventilation, respiration, and circulation. (2)           alleviating impairment and functional limitation by designing, implementing, and modifying therapeutic interventions that include the following: (A)          coordination, communication and documentation; (B)           patient/client-related instruction; (C)           therapeutic exercise (including aerobic conditioning); (D)          functional training in self-care and home management (including activities of daily living and instrumental activities of daily living); (E)           functional training in community and work (jobs/school/play) integration or reintegration activities (including instrumental activities of daily living, work hardening, and work conditioning); (F)           manual therapy techniques (including mobilization and manipulation); (G)           prescription, application, and fabrication of assistive, adaptive, orthotic, protective, supportive, and prosthetic devices and equipment that is within the scope of practice of physical therapy; (H)          airway clearance techniques; (I)            wound management; (J)            electrotherapeutic modalities; and (K)          physical agents and mechanical modalities. (3)           preventing injury, impairment, functional limitation, and disability, including the promotion and maintenance of fitness, health, and quality of life in all age populations.   RESPONSIBILITIES (a)  The physical therapist must determine the patient care plan and the elements of that plan appropriate for delegation. (b)  The physical therapist must determine that those persons acting under his or her supervision possess the competence to perform the delegated activities. (c)  The physical therapist may delegate responsibilities to physical therapist assistants.  The supervising physical therapist must determine that the PT or PTA student is working under supervision at all times. (d)  The physical therapist must enter and review chart documentation, reexamine and reassess the patient and revise the patient care plan if necessary, based on the needs of the patient. (e)  The physical therapist must establish the discharge plan. (f)  For each date of service, a physical therapist must provide all therapeutic interventions that require the expertise of a physical therapist and must determine the use of assistive personnel who provide delivery of service that is safe and effective for each patient. (g)  A physical therapist's responsibility for patient care management must include first-hand knowledge of the status of each patient and oversight of all documentation for services rendered to each patient, including awareness of fees and reimbursement structures. (h)  A physical therapist must be immediately available directly or by telecommunication to a physical therapist assistant supervising a physical therapy aide or student engaging in patient care. (i)  A physical therapist must be limited to clinically supervising only that number of assistive personnel, including physical therapists assistants, physical therapy aides, and students completing clinical requirements, as is appropriate for providing safe and effective patient interventions at all times. (j)  If a physical therapist assistant or physical therapy aide is involved in the patient care plan, the patient must be reassessed by the supervising physical therapist no less frequently than every 30 days. (k)  A physical therapist who is supervising a physical therapy aide or student must be present in the same facility when patient care is provided. (l)  The physical therapist must document every evaluation and intervention/treatment, which must include the following elements: (1)           Authentication (signature and designation) by the physical therapist who performed the service; (2)           Date of the evaluation or treatment; (3)           Length of time of total treatment session or evaluation; (4)           Patient status report; (5)           Changes in clinical status; (6)           Identification of specific elements of each intervention/modality provided.  Frequency, intensity, or other details may be included in the plan of care and if so, do not need to be repeated in the daily note; (7)           Equipment provided to the patient or client; and (8)           Interpretation and analysis of clinical signs and symptoms and response to treatment based on subjective and objective findings, including any adverse reactions to an intervention. (m)  At least every 30 days, the therapist must document: (1)           The patient's response to therapy intervention; (2)           Progress toward achieving goals; and (3)           Justifications for continued treatment. PROHIBITED PRACTICE (a)  A physical therapist must not employ acts, tests, procedures, modalities, treatments, or interventions in the treatment of patients that are beyond the scope of the practice of physical therapy.  Any patient whose condition requires medical diagnosis of disease or treatment beyond the scope of physical therapy must be referred. (b)  A physical therapist must not permit any person working under his or her supervision to engage in acts or practices beyond the scope allowed by the Physical Therapy Practice Act or the rules in this Chapter. (c)  Physical therapy does not include the application of roentgen rays or radioactive materials, but consistent with the requirements of G.S. 90-270.35(4) a physical therapist may review x-rays and may also request radiologic consultations; however, a physical therapist shall not order radiological examinations.