Documentation Flashcards

1
Q

What are important issues to consider with someone who is neurological compromised?

A

compare patient and caregiver information.
note changes.
less tx time but more tx in a day

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2
Q

Know the subcomponents of a SOAP note if given a subsection

A

F-function
E-expectations.. the pt will
A- action.. do what (perform, demo, identify)
S- specific conditions … level of assistance and cueing/and or the conditions under which the pt. will perform the action. (after setup, with min. A and verbal cues, 50% of the time, at wheelchair level. while standing at sink side)
T- timeline.. by when

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