Documentation: Reporting Skill and Progress Part 3

Presented by Carole B. Lewis

Documentation: Reporting Skill and Progress Part 3

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Video Runtime: 60 Minutes; Learning Assessment Time: 15 Minutes

This course is Part 3 in a five-part series on documentation with a focus on reporting skill and progress and how you can get the best out of your documentation. This course documents how to show skill as a therapist with low-level patients. One low-level patient goes through an initial evaluation and performs different balance, muscle strength, and endurance tests with modifications for her specific needs. Her scores are reviewed, and recommendations are provided to improve areas of weakness, with the goal to improve the patient's confidence.

This is course 3 in a series of five. Below are all the courses in the series.

Meet your instructor

Carole B. Lewis

Dr. Carole Lewis has worked in home health, long-term care, acute hospitals, rehabilitation departments and outpatient clinics. She started a private practice in Washington, D.C., in 1981 and continues to work as a clinician. Dr. Lewis received her two master’s degrees in healthcare management and gerontology from the…

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Chapters & learning objectives

Application to Actual Cases: Lower-Level Initial Evaluation

1. Application to Actual Cases: Lower-Level Initial Evaluation

This chapter introduces a low-level patient who is administered the Patient-Specific Functional Scale. She provides her medical history and describes her previous rehab experience as well as her current exercise program. Modified strength tests for the patient's specific needs are discussed.

Lower-Level Patient Evaluation

2. Lower-Level Patient Evaluation

This chapter demonstrates a balance and walking test as well as an endurance test with the patient.

Results

3. Results

In this chapter, we review the scores from the tests in chapters 1 and 2 with the patient and show her exercises she can incorporate into her routine to improve lower-scoring areas.