A PT and a PTA discuss changes to a patient's expected goals and plan of care.Which statement best demonstrates how such changes should be documented in the plan section of the SOAP note?
A) The patient will ambulate (I) 200 ft. with FWW at the end of 3 weeks.
B) The patient stated his or her pain level was an 8/10 prior to treatment today.
C) The patient completed AROM in (L) shoulder flex. (I) 10x, 3 sets.
D) The patient performed quad sets 10x, 3 sets.

Question

Quizplus · Accepted Answer

The plan section communicates the expected goal of the patient ambulating with a FWW, independently, 200 feet after 3 weeks, alerting the PT and PTA that the expected goal will be completed in a specific time frame as per the plan of care. If this does not occur, the PT must reevaluate the plan of care and make adjustments. If this goal is completed in the expected time frame, the PT must reevaluate the plan of care and progress of the patient by adding another goal.

A PT and a PTA Discuss Changes to a Patient's