Exam 2: Communication and Patientclient Management Process

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What are the six components of a patient goal? a. __________________________ b. __________________________ c. __________________________ d. __________________________ e. __________________________ f. __________________________

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In which part of a note in the SOAP note format should the following information be included: Elbow strength and ROM are limiting performing ADLs?

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Audits of patient care are systematic reviews of patient documentation to examine the efficacy and efficiency of patient outcomes with respect to services provided.

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Write a short-term goal for a patient with a medical diagnosis of fractured right femur referred to physical therapy for gait training with a walker and a non-weight bearing gait. The physical therapist has written the following long-term goal for this episode of care: The patient will be an independent community ambulator on level and un-level surfaces and stairs using a walker and a non-weight bearing on right gait pattern to be able to return to work in two weeks.

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Signs are subjective perceptions reported by patients.

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