Podcast
Questions and Answers
What is the primary focus of the objective guidelines as described?
What is the primary focus of the objective guidelines as described?
- Patient's subjective experience of pain
- Patient's exercise routine
- Treatment methods used in therapy
- Physical therapist's observations and measurements (correct)
Which of the following best categorizes the types of information relevant to the physical therapy session?
Which of the following best categorizes the types of information relevant to the physical therapy session?
- Observations, interventions, and responses to treatment (correct)
- Demographics and insurance information
- Injuries and historical records of the patient
- Personal and family medical history
What does the measurement '0-175º' under Flex for the date 10/19/20XX indicate?
What does the measurement '0-175º' under Flex for the date 10/19/20XX indicate?
- Flexion has significantly improved with no pain (correct)
- Flexion has significantly decreased
- Patient was not able to perform the measurement
- Flexion is unchanged from previous observations
What should the objective findings include according to the guidelines?
What should the objective findings include according to the guidelines?
Which statement accurately reflects a consistent patient report during the assessment?
Which statement accurately reflects a consistent patient report during the assessment?
What does the term 'CGA' refer to in the context of patient gait?
What does the term 'CGA' refer to in the context of patient gait?
Which of the following descriptions is true regarding Internal Rotation (IR) at the latest measurement?
Which of the following descriptions is true regarding Internal Rotation (IR) at the latest measurement?
What does the term 'flow sheet' refer to in the context of formatting patient's information?
What does the term 'flow sheet' refer to in the context of formatting patient's information?
What is the first step in the Patient Client Management Model?
What is the first step in the Patient Client Management Model?
Which of the following is NOT included in the Patient Client Management Model?
Which of the following is NOT included in the Patient Client Management Model?
What role does the Patient Client Management Model play in physical therapy?
What role does the Patient Client Management Model play in physical therapy?
Which of the following steps comes after the Systems Review in the Patient Client Management Model?
Which of the following steps comes after the Systems Review in the Patient Client Management Model?
What is indicated by the phrase 'Hypotheses' in the context of the Patient Client Management Model?
What is indicated by the phrase 'Hypotheses' in the context of the Patient Client Management Model?
In the context of physical therapy, what does observation & assessment of movement primarily involve?
In the context of physical therapy, what does observation & assessment of movement primarily involve?
Which of the following conditions might be identified during the Tests & Measures step?
Which of the following conditions might be identified during the Tests & Measures step?
What is the expected outcome mentioned for the patient in the Patient Client Management Model?
What is the expected outcome mentioned for the patient in the Patient Client Management Model?
What is the primary reason why the patient is seeking physical therapy?
What is the primary reason why the patient is seeking physical therapy?
What is the intensity level of the patient's low back pain at its worst according to the provided information?
What is the intensity level of the patient's low back pain at its worst according to the provided information?
Which factor is identified as aggravating the patient's low back pain?
Which factor is identified as aggravating the patient's low back pain?
How often does the patient experience their low back pain according to the symptom behavior documentation?
How often does the patient experience their low back pain according to the symptom behavior documentation?
What method does the patient use to ease their low back pain?
What method does the patient use to ease their low back pain?
What type of information should the PT provide regarding future services?
What type of information should the PT provide regarding future services?
What is one indicated reason for the continuation of PT for the patient?
What is one indicated reason for the continuation of PT for the patient?
What does the follow-up plan need to include?
What does the follow-up plan need to include?
Which of the following actions does NOT represent mutual understanding between therapist and client?
Which of the following actions does NOT represent mutual understanding between therapist and client?
Which statement best reflects the patient's current progress?
Which statement best reflects the patient's current progress?
What might be included in the discharge visit's final plan?
What might be included in the discharge visit's final plan?
What improvement was noted in the patient's exercise tolerance?
What improvement was noted in the patient's exercise tolerance?
What is a key component of the patient's current treatment plan?
What is a key component of the patient's current treatment plan?
What is included in the demographics section of the subjective portion of a SOAP note?
What is included in the demographics section of the subjective portion of a SOAP note?
Which element represents the patient's primary concern in the subjective section of the SOAP note?
Which element represents the patient's primary concern in the subjective section of the SOAP note?
What type of information should NOT be documented in the subjective section of a SOAP note?
What type of information should NOT be documented in the subjective section of a SOAP note?
Which of the following components is part of conducting a comprehensive subjective exam?
Which of the following components is part of conducting a comprehensive subjective exam?
Which statement accurately describes symptom behavior during the subjective portion of a SOAP note?
Which statement accurately describes symptom behavior during the subjective portion of a SOAP note?
What is the purpose of gathering social history in the subjective section?
What is the purpose of gathering social history in the subjective section?
In the subjective section, how should patient information be documented?
In the subjective section, how should patient information be documented?
What type of data is least likely to be collected from other health care providers during the subjective portion?
What type of data is least likely to be collected from other health care providers during the subjective portion?
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Study Notes
Patient Assessment and Progress
- Patient reports neck pain at 2/10 while turning head right, with significant improvements since last session.
- Pain and limited motion affect daily activities, such as backing up the car.
- Consistent home exercise routine enhances motion and reduces pain.
Objective Assessment
- Gait noted: Patient moved from FWW to SPC, ambulating 225 feet with CGA and cueing for cane usage.
- Range of Motion (ROM) measurements indicate progressive improvement over several weeks with noted pain levels.
Range of Motion (ROM) Measurements
- Flexion improved from 0-165º with pain to 0-175º without pain.
- Abduction increased from 0-170º to 0-180º, with no complaints.
- Internal rotation showed improvement from 0-20º to 0-45º, pain persists at end range.
- External rotation improved from 0-70º to 0-82º.
Interventions and Response
- Patient management includes thorough clarity and accuracy on assessments and interventions performed.
- Overall improvement observed with decreased pain levels and enhanced exercise performance.
- Continued issues with right knee pain impacting stairs and gait noted for further attention.
Patient Client Management Model
- Key components: History, Systems Review, and Tests & Measures inform treatment planning.
- Observations must be integrated into overall assessment and treatment effectiveness.
Future Planning
- Treatment plans should specify goals, patient education, frequency, and potential adjustments.
- Emphasis on mutual understanding between therapist and patient regarding treatment actions, whether continuing without changes, with changes, or reassessment.
Subjective Examination Components
- Subjective data collected from patient and caregiver statements, including demographic information, current condition, medical history, and patient goals.
- Chief concern details should accurately reflect why the patient seeks therapy and contain symptom history and behaviors.
Gathering Subjective Data
- Demographics include name, date of birth, medical diagnosis, and gender.
- Current conditions should document symptom location, description, intensity, aggravating and easing factors, and frequency/duration.
- Insightful patient interviews and careful documentation are critical to capturing complete information.
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