1, PT per w/c turn pt.qh
Physical Therapy with wheel chair and patient turning every hour..
2, DX: RA: R/o SLE
DX : diagnosis
RA: Rhematoid Arthritis
R/O SLE : ruleiout systemic lupus erythematous
3, In PT note:
In physio Therapy note
4, in OT or PT note:
In occupational therapy or physical therapy note:
Complaints of shortness of breath after bilateral upper extremity proprioceptive neuromuscular facilitation exercise..
5, In medical record
Diagnosis: multiple sclerosis
Rule out organic brain syndrome
1 w o Using Abbreviations Translate each phrase or sentence written with abbreviations into a full...
1 wor k s hee t Using Abbreviations Translate each phrase or sentence written with abbreviations into a full English phrase or sentence. Translate cach sentence or phrase written in English into a sentence or phrase written with abbreviations. 1. Physician's orders to PT per wlc turn Pt. gh To Ph wll every heuc 2. In medical record Dx: RA: RO SLE Athnitis Rule cut syat ecnetos 3. In PT note eryhgna Intervention plan: See Pt. once per day, activities...
Using Abbreviations OTKsh Translate each sentence or phrase written in English into a sentence the wine with 1. In the physician's note: Translation: Medical Diagnosis: arteriosclerotic Translation Translation cardiovascular disease. 2. You must write in the following: The patient may be 50 percent partial weight bearing left lower extremity per verbal order of Dr. Patel 3. In the OT note: Intervention plan: occupational therapy treatment twice per day, for basic activities of daily living training, therapeutic exercises, and ultrasound at...
Using Abbreviations worksheet 2 Translate each phrase or sentence written with abbreviations into a full English phrase or sentence. 1. Physician's orders: Translation: NPO p midnight for PET scan at 0900. Translation: 2. From the Pt. care note: Pt. clot hip pain p amb 150 ft. x 1 ċ a walker FWB LEē min assist +1 for balance & verbal cues for sequencing device. Translation: 3. In the health record: Dx: DOE; R/O PE Translation: 4. Order written in the...
From Documentation Book Worksheet 4-1 Translate each sentence written with abbreviations into full English phrases or sentences. 1. Pt. I BADLs. 2. Client reports ↓ pain R shoulder p HP. 3. Resident w/c ↔ EOB with SBA. 4. Client c/o pain in R index MCP joint p ~ 2 min PROM. 5. Client w/c → mat c sliding board max A x2. 6. Pt. O x 4. 7. Client has SOB p 30 reps of UE PRE. 8. Pt. has...
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...