COVID-19 recovered
This portion of a SOAP note clarifies the future goals and any modifications that will be used with the patient
Plan
Guillain-Barre Syndrome
a condition that makes it difficult to breathe
(COPD) Chronic Obstructive Pulmonary Disease
3 common diagnoses in acute inpatient rehab
stroke, COVID recovery, amputation, heart surgery, MVA
aphasia, visual neglect, depression, confusion, depression, one-sided weakness
Glioblastoma
Subjective, Objective, Assessment, Plan
4 parts of a SOAP note
Ringing in ears, dizziness, communication issues
Hearing loss
a complex disease that occurs when insulin production is too low or lacking entirely
Diabetes
5 Domains of Well-Being
Physical
Social
Cognitive
Emotional
Spiritual
disorder of the heart and blood vessels
Cardiovascular
Includes a direct quote from the patient
Subjective
muscle atrophy, cardiopulmonary endurance issues, upper and lower extremity weakness
osteoarthritis
causes abnormal signals in the brain; can cause a brief surge of electrical activity that affects the brain
Epilepsy
3 examples of physical domain areas of focus for Therapeutic Recreation
gross motor skills, fine motor skills, balance, sitting tolerance, standing tolerance
Orthopedic conditions
Is composed of the therapists interpretation of both the patient's direction comments and behaviors/participation during the TR intervention or program
Assessment
Pressure Ulcer
Two types of COPD that interfere with normal lung function
Chronic bronchitis and Emphysema
3 TR interventions used for patients who had a stroke
Connect 4, Checkers, Chess, Guess Who, Name 5, Relaxation, Yoga
overall decline in functional status characterized by difficulty walking, decline in ADL's and decreased energy
Debility
Detailed description of the patient's behavior and participation during the TR intervention or program
Observation
hypoglycemia, hyperglycemia, dental issues, blindness, amputations
Diabetes
a form of soft tissue rheumatism in adults
Fibromyalgia
3 TR interventions for patients who have behavioral issues
music
relaxation
card games
word searches
validation