Week 2 Flashcards
(155 cards)
What are the functions of a medical record?
Specific to PT, what can the medical record be used as?
Why do we review charts?
What are the documentation do’s and don’ts?
What are flow sheets? What is the importance of facility approved abbreviations?
What is NOT included in flow charts? Can PTAs fill them out?
What are the must haves for documentation?
What define skilled therapy services?
Make “pt practiced sit to stand from bed x5” skilled
Make “pt ambulated with quad cane 20 feet” skilled
Make “pt rode bike ergometer 15 minutes followed by amb on treadmill x10 minutes at 3.0 mph. Pt performed therapeutic exercises per flow sheet” skilled
What should be included in a progress note?
Explain the S in SOAP notes
Explain the O in SOAP notes
Explain the A in SOAP notes
Explain the P in SOAP notes
Assess and state which components belong to which section of the SOAP note?
Revise the information
How do you approach goal writing?
Explain the ABCDEF approach to goals
Give some example of behaviors and their conditions/degrees
What constitutes a behavior?
How do you decide on a function for your goals?
What makes a problem list?