It is important to identify a lack of progress in the treatment plan and for the PTA to make suggestions for changes.Identify the correct example of such a response.
A) Patient could not use a quad cane to walk from house to mailbox within 2 weeks, as outlined in the POC. PTA will contact PT before next visit, to address inability to reach prescribed goal.
B) Patient completed AROM in hip flex to 90º as compared to initial evaluation of 120º. PTA will communicate change to PT by next visit.
C) Patient reported that his pain level has increased from the last session from 7/10 to 9/10 due to poor posture. PTA will contact PT regarding change in pain level and revision of POC.
D) There has been an increase in core stability, with patient able to sit (I) for 10 sec. compared to IE of 5 sec with SBA at EOB.

Question

Quizplus · Accepted Answer

In the plan section of the SOAP note, the PTA must communicate the expected goal related to a future time frame. This section helps predict what the patient should be able to accomplish in a given time period, based on the goals outlined in the initial evaluation and subsequent treatment sessions.

It Is Important to Identify a Lack of Progress in the Treatment