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1 w o Using Abbreviations Translate each phrase or sentence written with abbreviations into a full English phrase or sentence sentence or phrase written in English into a sentence or phrase written with abbreviations TIranslation to PT per wic turn Pt. qh Translation 2. In medical record: Dx: RA; R/O SLE 3. In PT nots Intervention plan: See Pt. once per day, activities of daily living training including transfer training, correcting for balance issues as needed, ultrasound at 1.0 to 1.5 watts per centimeter squared to anterior superior aspect of right knee for 5 minutes Translation 4. In OT or PT no c/o SOB p bilat. UE PNF exercises Dx: Multiple sclerosis ; R/O OBS The patient has a below-the-knee amputation. Has used a patellar tendon bearing prosthesis with a solid ankle cushion heel foot for the past 20 years 7. In OT nots The patiens heart rate increased 20 beats per minute after only 2 minutes of self-care activities of daily living. 23
24 Part I Background Information Translation The patient ambulated in the parallel bars, full weight bearing left lower extremity, for approximately 20 feet twice with minimal assistance of one person for balance. anslation Upper extremity strength is 5/5 throughout bilaterally. Translation Anticipated Goal: decrease dependence in transfers wheelchair to bed to moderate assistance within I weck. Answers to Using Abbreviations: Worksheet 1 are included in Aj
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Answer #1

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

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