1. DOCUMENTATION MEDICAL TERMINOLOGY

2. WHY ARE ABBREVIATIONS, SYMBOLS AND ACRONYMS USED IN HEALTH CARE?

3. MEDICAL TERMINOLOGY PRONE SUPINE INFLAMMATION HYPERTONIC VS. HYPOTONIC ETC…

4. MEDICAL TERMINOLOGY AND ABBREVIATIONS MAKE FLASH CARDS

5. ASSIST A

6. AFTER p

7. abd. ABDUCTION

8. ADL’s ACTIVITIES OF DAILY LIVING

9. Add. ADDUCTION

10. AROM ACTIVE RANGE OF MOTION

11. AKA ABOVE KNEE AMPUTATION

12. @ AT

13. BILATERAL B

14. BKA BELOW KNEE AMPUTATION

15. BIW BI-WEEKLY, TWICE WEEKLY

16. CG CONTACT GUARD

17. CP COLD PACK

18. C/O COMPLAINS OF

19. DC DISCHARGE

20. DF DORSIFLEXION

21. DX DIAGNOSIS

22. ER EXTERNAL ROTATION

23. FWB FULL WEIGHT BEARING

24. FX FRACTURE

25. HEP HOME EXERCISE PROGRAM

26. HX HISTORY

27. INDEPENDENT I

28. IE INITIAL EVALUATION

29. IR INTERNAL ROTATION

30. LEFT L

31. LBP LOW BACK PAIN

32. LE LOWER EXTREMITY

33. LTG LONG TERM GOAL

34. MHP MOIST HOT PACK

35. MMT MANUAL MUSCLE TEST

36. NWB NON WEIGHT BEARING

37. PF PLANTAR FLEXION

38. PMH PAST MEDICAL HISTORY

39. Pt.Pt. PATIENT

40. PWB PARTIAL WEIGHT BEARING

41. RIGHT R

42. Reps REPETITIONS

43. Rx.Rx. TREATMENT

44. SBA STANDBY ASSIST

45. SI, SIJ SACROILIA JOINT

46. STG SHORT TERM GOALS

47. TENS TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION

48. THR TOTAL HIP REPLACEMENT

49. TIW THREE TIMES A WEEK

50. TKR TOTAL KNEE REPLACEMENT

51. UB UPPER BODY

52. UE UPPER EXTREMITY

53. WB WEIGHT BEARING

54. WBAT WEIGHT BEARING AS TOLERATED

55. WNL WITHIN NORMAL LIMITS

56. WITHOUT s

57. WITH c

58. CHANGE

59. INCREASE/DECREASE

60. CHIEF COMPLAINT CC

61. AS NEEDED PRN

62. SIDELYING S/L

63. STRAIGHT LEG RAISE SLR

64. SIDEBEND SB

65. LUMBAR SPINE L/S

66. CERVICAL SPINE C/S

67. ILIO-TIBIAL BAND ITB

68. STANDARD WALKER SW

69. ROLLING WALKER RW

70. THERABAND T-Band

71. PRACTICE… Pt. c/o LBP along the side. Rx c MHP Pt. given HEP. R _

72. S.O.A.P. NOTES

73. SUBJECTIVE OBJECTIVE ASSESSMENT PLAN

74. S.O.A.P. NOTES WHAT IS THE DIFFERENCE BETWEEN SUBJECTIVE INFORMATION AND OBJECTIVE INFORMATION? HOW IS EACH IMPORTANT IN DOCUMENTATION?

75. S. O.A.P. NOTES THE “SUBJECTIVE” PART OF THE SOAP NOTE: IS WHERE YOU WRITE WHAT YOUR CLIENT HAS TO SAY ABOUT HIS OR HER CURRENT CONDITION. "I CAN NOW BEND MY BACK TO PUT ON MY SOCKS AND SHOES FOLLOWING MY TREATMENT SESSION YESTERDAY." IT IS BETTER IF THE PATIENT'S SUBJECTIVE STATEMENT IS MORE SPECIFIC. "THE PAIN ON MY BACK HAS MOVED DOWN TO 3/10 FROM THAT OF YESTERDAY BEFORE MY TREATMENT."

76. S. O. A.P. NOTES THE "OBJECTIVE" PART INCLUDES ALL THE MEASUREMENTS THAT YOU'VE OBTAINED FROM YOUR CLIENT. THIS INCLUDE THE VITAL SIGNS, MANUAL MUSCLE TESTING MEASUREMENTS, JOINT RANGE OF MOTION MEASUREMENTS, ETC. THE SPECIFIC PHYSICAL THERAPY TREATMENTS ARE ALSO INCLUDED IN THE OBJECTIVE PART. THE TREATMENT SHOULD INCLUDE THE SPECIFIC WEIGHT, REPETITIONS, INTENSITY AND DURATION.

77. ® KNEE EXTENSION- FULL ROM; 10 REPS X 3 SETS c 5 LBS. ANKLE WEIGHT MHP ON B LUMBAR AREA x 20 MINUTES S. O. A.P. NOTES _

78. ASSESSMENT THIS IS WHERE THE PHYSICAL THERAPIST WRITES HIS/HER IMPRESSION REGARDING PATIENT'S CURRENT SITUATION SINCE LAST VISIT. THIS MAY ALSO INCLUDE THE THERAPIST'S PERSPECTIVE ON WHETHER A PARTICULAR TREATMENT WILL BE CONTINUED OR MODIFIED ACCORDING TO CLIENT'S NEEDS. EXAMPLE: "The Pt. tolerated the Rx well but needs frequent verbal cues from PT to complete knee extension at full ROM."

79. S.O.A. P. NOTES PLAN IN THE PLAN PART, THE PHYSICAL THERAPIST WRITES THE PLANS FOR THE CLIENT'S NEXT THERAPY VISIT.

80. SAMPLE SUBJECTIVE DATA 24 y/o male c/o L ankle pain. Pt. states he was playing basketball this morning, when he jumped to block a pass and "came down funny" on his ankle. He states pain goes from a dull 2 out of 10 to a sharp 6 out of 10 when he applies pressure. Pt. has no allergies to medications, and is currently taking Advil for a previous injury of R knee.

81. THE KNEE - Largest joint in the body. -Hinge joint -greatest ROM is in flexion -highly susceptible to injury -not protected by layers of fat and muscle -easily palpable

82. THE KNEE (ANTERIOR)

83. THE KNEE (POSTERIOR)

84. THE KNEE

89. BURSAs

90. KNEE LIGAMENTS HTTP://YOUTU.BE/RRVAJHJXMX8 HTTP://YOUTU.BE/HWNFGM6JIKY HTTP://YOUTU.BE/OUIIXMGTLYI