Transcription of PHYSICAL THERAPY CARE PLAN - PN System
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PHYSICAL THERAPY CARE PLAN - PN System
PHYSICAL THERAPY care PLANINTERVENTIONSL ocator #21 EvaluationTeach hip safety precautionsBalance training /activitiesPulmonary PHYSICAL TherapyUltrasound to _____ at _____ x _____ minEstablish/ upgrade home exercise program Copy given to patientTeach safe/effective use of adaptive/assistdevice (specify)Teach safe stair climbing skillsCopy attached to chartElectrotherapy to _____ for _____ minPatient/Family educationProsthetic training Teach fall safetyTherapeutic exerciseTENS to _____ for _____ minPulse oximetry PRNT ransfer training with/without assistanceFunctional mobility trainingHeat/Cold to _____ for _____ minGait training with/without assistanceTeach bed mobility skillsNote: Each modality specify frequency, duration, amount and specify location:SHORT TERM GOALSL ocator #22 Gait will increase tinetti gait score to _____ / 12 within _____ needed:YesPatient/Caregiver aware and agreeable to POC:No (explain):PoorREHAB POTENTIAL:ExcellentFairGoodPlan developed by:DateTherapist Name/Signature/titlePhysician signature:DatePlease sign and return promptly, if applicableOriginal - Patient Chart Copy - Patient's Ho
PHYSICAL THERAPY DATE OF SERVICE / / OBJECTIVE DATA TESTS AND SCALES PRINTED ON OTHER PAGE. TIME IN OUT HOMEBOUND REASON: Needs assistance for all activities Residual weakness TYPE OF EVALUATION Requires assistance to ambulate Confusion, unable to go out of home alone Initial Interim Final
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