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With PT direction, patient completed task with symmetrical movement 90% of the time. PHd$2 +4^{D=fO:%hWVuOq~4ssatP6 759 0 obj <> endobj Patient arrived at OT with R UE weakness s/p CVA. Outlining patient progression through a series of goals that are achieved and modified is an excellent way to convey progress and justify treatment. _[a@>Ak*-'*571?SpnpfC6B@"FVYx7Bl)$[E_}md_`x2Xs8Yy Verbal cues were provided to improve postural alignment and engage in pursed lipped breathing to maximize functional tolerance. The end point of therapy also needs to be clearly defined. You worked hard to earn your degree. Disclosure: This post may contain affiliate links, meaning I may get a commission if you decide to make a purchase through my links, at no cost to you. Our focus was on glute activation prior to hip extension., Abdominal contraction prior to squatting (timing), A change in sequencing of abdominal recruitment prior to squatting improved lumbar posture and reduced pain., The patient was challenged in achieving proper squat technique due to balance deficits. Elicited Increased time needed to execute and allow for therapeutic rest. What is an example of an Ownership Change vs. a CHOW? Documentation should include the referral mechanism by which physical therapy services are initiated. Medicare Maintenance Physical Therapy | Occupational Therapy - YouTube Auditors often rely on repetitive or otherwise poor documentation to deny a claim based on the conclusion that therapeutic exercise did not require the skills of a therapist. Thats why this article on10 ways to speed up physical therapy documentationshould help. Observing 1. In side lying, patient instructed in 310 L hip abduction, L hip extension with verbal cues to isolate targeted muscle groups and initiate appropriate exercise. Use Shortcuts to Save Time. Patient required verbal cues for erect posture to maximize cardiopulmonary function. <> N - Narrate your client's accomplishments. T - Thoughtfully share challenges and how OT can help push through. Follow him on YouTube for weekly videos on ways to improve your financial health. Under the maintenance coverage standard articulated in the Jimmo Settlement, the determining issue regarding Medicare coverage is whether the skilled services of a health care professional are needed, not whether the Medicare beneficiary will "improve." Within 5 weeks, the patient will demonstrate an increase in quadriceps strength by 1 MMT grade to ascend and descend stairs without the knee buckling. OT provided stabilization at the shoulder to ensure proper form and to prevent injury. Reduced How Should I Handle Back Pain After a Car Accident in Jackson, MS? The therapist can personally provide ongoing skilled maintenance therapy due to safety and/or complexity of your situation.

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maintenance physical therapy documentation examples