Physical Therapy Documentation by unknow
Author:unknow
Language: eng
Format: epub
ISBN: 6237044
Publisher: SLACK, Incorporated
Objective Data Systems Review
Tests and Measures
Measuring Impairment
Measuring Function ⦠Generic Versus Specific Measures
⦠Patient Performance Versus Self-Report
Describing Interventions
Counting Minutes
CHAPTER OBJECTIVES
Upon completion of this chapter, the reader will be able to:
List sources of information for historical data
Differentiate between the Problem and Subjective sections of the note
Identify types of data that should be recorded in the Problem and Subjective sections of a SOAP note
Discuss how historical data inform the clinical decision-making process
When given information collected from a patient history, organize the information in logically sequenced Problem and Subjective sections
Identify types of data that should be recorded in the Objective section of the SOAP note
Discuss the purpose of the systems review
Discuss how objective data are used to inform the clinical decision-making process
Differentiate between measurements of impairments of body structure/function and measurements of functional activity limitations
Discuss characteristics of tests and measures (general vs specific and self-report vs performance based)
When provided data collected during a patient examination, arrange the data into a logically sequenced Objective section
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