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
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