Assessment and Plan Flashcards

1
Q

What is in the Assessment of an initial Eval?

A

SINSS,
DX- diagnosis (problem list),
PX- prognosis (with factors),
goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What goes in the assessment of a follow up daily note?

A

how pt handled tx, reassessment of SE and OE asterisks, home instructions, progress, any changes, effect of last treatment, D/C or DC, recommendations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Treatment plan- 6 choices

A
assistive device training
pt education
modalities
ther ex
HEP
manual therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly