Ch. 8 Documentation Flashcards

0
Q

What does SOAP stand for?

A

S-ubjective is reported by the client.
O-bjective is documented tests, assessments, observations, etc.
A-assessment is the interpreted data from subjective & objective
P-lan is the intervention plan to be performed

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1
Q

What does SMART stand for?

A

How S-ignificant is the goal?
Is it M-easurable?
Is it A-chievable?
Goals R-elate to one another & to client’s occupational needs
T-ime-limited: goals have an end point

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2
Q

What does FIM represent?

A

Functional Independence Measure

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3
Q

What does RHUMBA stand for?

A
How R-elevant is the information?
        H-ow long will it take to accomplish goal?
How U-nderstandable is the info?
How M-easurable is the info?
  Are B-ehaviors of the goal described?
How A-chievable is the outcome?
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4
Q

FIM

What does level 7 represent?

A

Complete independence

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5
Q

FIM

What level are (timely) & (safely) on?

A

Level 7

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6
Q

FIM

What does level 6 represent?

A

Modified independence

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7
Q

FIM

What level is (device) on?

A

Level 6

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8
Q

FIM

What heading are levels 6 & 7 listed under?

A

No helper

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9
Q

FIM

What heading are levels 3, 4, & 5 listed under?

A

Helper- Modified Dependence

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10
Q

FIM

What does level 5 represent?

A

Supervision

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11
Q

FIM

What level is (subject = 100%) on?

A

Level 5

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12
Q

FIM

What does level 4 represent?

A

Minimal Assistance

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13
Q

FIM

What level is (subject = 75% or more) on?

A

Level 4

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14
Q

FIM

What does level 3 represent?

A

Moderate assistance

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15
Q

FIM

What level is (subject = 50% or more) on?

A

Level 3

16
Q

FIM

What heading are levels 1 & 2 listed under?

A

Helper- Complete Dependence

17
Q

FIM

What does level 2 represent?

A

Maximal assistance

18
Q

FIM

What level is (subject = 25% or more) on?

A

Level 2

19
Q

FIM

What does level 1 represent?

A

Total assistance or not testable

20
Q

FIM

What level is (not testable) on?

A

Level 1

21
Q

FIM

What level is ( subject less than 25%) on?

A

Level 1