Case Note Sample Narratives
Sample Narrative 7 . Client is a 26 y/o white female living alone. A & O self directing, DX: Cerebral Palsy, Asthma. Client stated she was born premature and at 2 weeks old had a stroke which caused the cerebral palsy. PMH: eye surgery at age 13 months to align eyes. Transfers via weight bearing Sara lift 2000 with 1 assist, non ambulatory; power
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