Question

1 worksheet Writing the Objective (O) the line before PART I. Mark statements the statement. Also mark the S items with note by writing Prob on the line before the statement the statements that should be placed in the O category by placing an O on an S and the information that belongs in the Problem portion of the Wil receive pulsed US at 1.5-2.0 W/cm2 toupper trapezius 2. ーーStrength: 5/5 throughout all extremites 3. Pt. has good rehab, posential 4Pt. clo pain Dankle 5. 6. Hip clearing reproduces painknee States onset of pain in July 2005. Pt. has been referred to home health services for further Rx Denies pain ć cough. Dx: traumatic brain injury han tersi wic艹mare sliding board e min + 1 assist. 8. 9, 11. Indep in donning/doffing prosthesis within 1 wk 12 13. 14. 15. Musculoskclictal Sotcm: Strength impairedUE & LE Clo painlow back p sitting for -10 min Will refer Pt. to speech-language pathology Gait Indep 1 crutches 10%PWB㊨LEfor 150 ft. X2. Pt. was difficult to examine due to lack of cooperation as demonstrated by closing his eyes & 17.- 18. crossing his arms when given a command will initiate OT post-op day 2 per critical pathway. tAROM Rshoulder to WNL within 6 wks. 19Reaction to Rs Received training in wlc propulsion & management, transfer training ć sliding board wic㈠mat & sit艹supine. Pt. was fatigued PRx. 20.---AROMi WNL bilat LEs. 21. 22. States hx of COPD since 2003. 23.. Pt. will be indep in dressing & grooming activities within 2 wks. will be seen by PT as an OP beginning e 2x/wk for 2 wks. & progressing prn. 97

Answer 1

ANSWER

1. O Will receive pulsed US at 1.5 to 2 W/cm2 right upper trapezius.

2. O Strength 5/5 throughout all extremities.

3. O Patient has good rehabilitation potential.

4. S Patient complain of pain left ankle.

5. O Hip clearing reproduces pain left knee.

6. S State onset of pain in July 2005.

7. O Patient has been referred to home health services for further treatment.

8. S Denies pain with cough.

9. O Diagnosis ;Traumatic brain injury.

10. O Transfers with mat with sliding board with min + 1 assist.

11. O Independent in donning/doffing prosthesis in one week.

12. O strength of musculoskeletal system impaired right upper and lower extremity.

13. S Complaint of pain in the left lower back and pitting approximately 10 min.

14. O Will refer patient to speech language pathology.

15. O Gait independent with crutches 10 % PWB left LE for 150ft * 2.

16. O Patient was difficult to examine due to lack of cooperation as demonstrated

    by closing his eyes and crossing his arms when given a command.

17. O Will initiate OT post op day 2 per critical pathway.

18. O Increase ROM right shoulder to WNL within 6 weeks.

19. O Reaction to treatment; received training in w/c propulsion and management,

          transfer,training with sliding board with mat and sit supine patient was fatigued.

20. O AROM ; WNL bilateral left extremities.

21.O Will be seen by PT as an OP beginning with 2*/week for 2 weeks and progressing

          as needed.

22. S states history of Chronic obstructive pulmonary disease since 2003.

23. O patient will be independent in dressing and grooming activities within 2 weeks.