Plan of Care Flashcards
1
Q
Initial Examination
A
- Any coordination of acre or communication of other healthy care providers if necessary
- Education
- PT Interventions (Joint Mob, E stim, etc).
- Anticipated frequency and duration of treatment sessions
- When a throughout reassessment/reevaluation will occur
- Informed Consent that POC has been discussed with paitent and they agree with it
2
Q
How often must a reassessment occur?
A
Patient every 10th visit or every 30 days
3
Q
Coordination of Care or Communication with other health care providers
A
- Not always needed
- Do any other health care providers need to be notified of anticipated care?
- Any red or yellow flags that warrant communication with another health care provider?
- May have a statement noting:
“communication will occur with other health care provider only if patient does not respond as anticipated to interventions”
4
Q
Education to the patient or family members
A
- Overall broad category, rather than all the little details discussed.
- Ex: Patient will be educated about her condition and options for care
- Ex: Patient will be educated on the importance of weightbearing restrictions over the next 2 weeks.
5
Q
PT Interventions
A
- Document only PT role with interventions
- Include many things but they MUST align with goals and assessment.
- Examples: Modlaities, manual therapy (joint or soft tissue mob), motor function interevention (motor control or strengthening), functional training (ADL, transfer), gati training, HEP
- Specific parameter are not documented here this is the overview.
- Document how patient will be progressed based on response to treatment
6
Q
Frequency and Duration AND when reassessment will take place
A
Inpatient or rehab
- Frequency: times a day
- Duration based on how long the patient will be in that setting
- Reassessment
Outpatient
- Frequency: time per week/month
- Duration: to reach goals
- Reassessment: Based on progress with care
7
Q
Informed Consent
A
- Statement included that states the patient was provided with informed consent for care.
- Ex: “The plan of care was discussed with the patient and they are in agreement with the plan”
