goal writing Flashcards
Examination in PCMM
history, systems reviews, tests/measures
Evaluation in PCMM
Clinical impression, judgement and assessment
In your diagnosis what word makes insurance know that PT is needed
requires
Prognosis in PCMM
includes plan of care and physical therapy goals
goals written by the PT for the patient fall under ___ of SOAP
Assessment
A well written goal contains….
ABDE and C or F(or both)
impairment goals
express the expected outcomes in terms of the specific impairments in the body structures or functions that contribute to the functional limitation – must be linked to functional goals and audience is typically not indicated
Activity/Functional Goal
express the expected outcomes in terms of skills needed to participate in necessary or desired roles
short term goal time frame
normally 1-2 weeks or a few visits
Long term goal time frame
can be many visits, weeks, months depending on the patient’s length of PT
participation goals
express the expected outcomes in terms of the specific roles in which the patient wishes to be able to participate
‘degree’ may not be indicated
ex. patient will attend church services within 6 weeks
A stands for
audience
B stands for
behavior
C stands for
conditions
D stands for
degree or level of acceptable performance
E stands for
expected time
F stands for
functional (ex. in order to brush their hair/teeth)
In PT EVAL 1 what goals are we emphasizing
activity/functional goals..
A rewritten goal falls under _ in SOAP
A- assessment
A first written goal falls under __ in SOAP
A- assessment
What falls under the P in SOAP
it is plan.. so it has to do with patient education in the next visit, what referrals need to happen, what interventions are given next visit, what steps are needed to reach functional goals
evaluation process determines the cause of movement dysfunction by _____.
establishing the relationships between impairments and functional limitations
what should PT goals address
the functional/activity limitations
ICF model components
body function, structure, (impairment) activity limitations, participation restrictions, external and internal environments
what are considered the impairments in the ICF model
body function and the structures
the functional limitations can be found where in the ICF model
the activity limitations and participation restrictions
