Transcription of PHYSICAL THERAPY CARE PLAN - PN System
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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 Home ChartPATI
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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Acute Care Physical Therapy – APTA Task Force, Physical, Plan, Care, FORMS, Physical therapy, Therapy, Physical, Occupational, and Speech Therapy, Guidelines for Physical and Occupational Therapy, Care Plan, Physical and Occupational Therapy Billing Guide, APTA Guide for Professional Conduct, Guide for Professional Conduct