Levels of Assistance
Weight-Bearing Restrictions
THA & TKA
Spinal & Body Mechanics
Burns
AE & Home Modifications
Ergonomics, Work Conditioning & Hardening
UE Conditions & Splints
ADL & IADL Performance
SOAP Note
100

A client performs only 20% of a task at this LOA.

What is Maximum Assistance?

100

No weight at all is permitted with this restriction.

What is NWB?

100

This knee position is avoided after TKA.

What is prolonged knee flexion?

100

This acronym describes the three primary spinal precautions following fusion surgery.

What is “BLT: No Bending, Lifting, or Twisting”?

100

This upper-extremity posture reduces edema.

What is elevation?

100

This bathroom modification reduces fall risk for clients with balance deficits.

What is installing grab bars?

100

This monitor height reduces neck strain.

What is eye level?

100

This is the safest way to don a shirt after rotator cuff surgery.

What is dressing the surgical arm first?

100

This term describes making an ADL task easier by lowering resistance, simplifying steps, or providing adaptive equipment.

What is grading down?

100

This documentation section includes measurable facts.

What is the Objective section?

200

This LOA indicates the client needs materials prepared but completes the task alone.

What is Set-Up Assist?

200

This restriction allows foot contact only for balance, not weight.

What is TTWB?

200

This approach requires avoiding hip flexion beyond 90°.

What is the posterior approach?

200

After lumbar surgery, clients are taught to log roll during bed mobility to avoid this prohibited spinal movement.

What is twisting?

200

This modality is contraindicated in early acute burns.

What is heat?

200

This long-handled device helps clients avoid bending when retrieving objects off the floor.

What is a reacher?

200

This program focuses primarily on restoring physical capacities like strength and endurance needed to return to work.

What is work conditioning?

200

After shoulder surgery, clients often sleep in this type of chair to avoid shoulder strain.

What is a recliner?

200

This ADL typically requires the most adaptation when someone transitions from being ambulatory to full-time wheelchair use.

What is showering?

200

This documentation section interprets the client’s progress.

What is the Assessment?

300

A client completes 75% of a task at this LOA.

What is Minimal Assistance?

300

This is the least restrictive WB status.

What is FWB?

300

This cold-therapy method helps control swelling during ADLs.

What is icing/elevation?

300

This weight limit is common for lifting after back surgery.

What is 5-10 lbs.?

300

This is a key goal of early burn rehab.

What is maintaining ROM?

300

This environmental change reduces fall risk when a client has limited weight-bearing capacity.

What are removing rugs or trip hazards?

300

This wrist position prevents median nerve compression.

What is neutral?

300

This mobility device supports clients with good UE strength but poor trunk control.

What is a bed ladder?

300

This is the FIRST grading strategy used when a client becomes fatigued during ADLs.

What is reducing task demands (pacing)?

300

The following sentence belongs in what part of the SOAP note?

He was motivated to try lower-body dressing today. 

What is the plan?

400

This LOA means the caregiver must be within arm’s reach for safety.

What is Contact Guard Assist?

400

This allows 50% of body weight through the limb.

What is PWB?

400

This movement is encouraged early after TKA.

What is early knee extension/flexion mobility?

400

This precaution prevents increased pressure on the lumbar spine when reaching the floor.

What is no bending at the waist?

400

This burn assessment method divides the body into percentage regions such as 9% for each arm, 18% for each leg, and 18% for the anterior or posterior trunk.

What is the Rule of Nines?

400

This jar-opening tool helps compensate for reduced grip after hand injuries.

What is a rubber jar opener or jar key?

400

This interdisciplinary, highly structured program simulates the full physical and behavioral demands of a job.

What is work hardening?

400

This safe sleeping position prevents stress on the joint following rTSA.

What is supine with a pillow supporting the arm?

400

This strategy helps a parent with rheumatoid arthritis incorporate exercise into a busy schedule by combining roles and responsibilities.

What is integrating exercises into daily routine activities?

400

The following sentence belongs in what section of the SOAP note?

He needed CGA to don UB clothing. With 2-3 tactile cues for dynamic balance, he was able to don pants with min A. OT educated patient on use of sock aid.

What is objective?

500

This LOA describes a client needing only verbal cues, no physical assistance.

What is Supervision?

500

This allows weight limited only by the client’s pain tolerance.

What is WBAT?

500

This approach prohibits excessive hip extension and external rotation.

What is the anterior approach?

500

This brace is commonly prescribed after spinal surgery to limit trunk movement.

What is a TLSO (thoracolumbar sacral orthosis)?

500

This psychological complication during burn rehab may limit ADL participation.

What is anxiety or fear of movement?

500

This bathroom modification helps reduce hip flexion.

What is a raised toilet seat?

500

This type of exercise (mimicking the physical demands of a job) is foundational in work conditioning.

What is job-specific strengthening?

500

This splinting concept is essential to review at discharge.

What is checking for skin irritation or redness?

500

This cognitive issue seen in “chemo brain” can lead to missing medication doses.

What is decreased attention or forgetfulness?

500

The following sentence belongs in what portion of a SOAP note?

Hindrances include cognitive decline with poor recall and frequent mood fluctuations, causing low motivation at times due to progressing dementia.

What is assessment?

M
e
n
u