THIS changes Physical Therapy Documentation forever.

Documentation Templates I Use: https://www.ptprogress.com/templates
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Physical documentation can take 1-2 hours of our day. I started using the PRIMER method to speed up my Physical Therapy SOAP notes and found that it was much easier to tell the patient’s rehabilitation story in less time. Here’s the PRIMER framework I use.
0:00 Intro
0:20 Documentation Templates
0:45 MedBridge Discount
0:55 Problem
1:23 Relate
2:15 Instruct
2:52 Manage
3:49 Educate
4:30 Review Plan

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The PRIMER Method: How it all works together
The point of the PRIMER method isn’t to replace a SOAP note. Rather, it works in tandem with your SOAP note, elaborating more detail.

P: Identify the Problem
People seek out physical therapy when they have a problem. The first step in documenting your treatment plan is to contextualize the problem that brought your patient into the clinic that day.

R: Relate to Functional Activity
Once you’ve identified the problem, relate it to a functional activity. Get in the habit of asking your patient, “Since I saw you last, what kind of activities still give you issues in your shoulder?” A question like that will yield useful answers, and you’ll learn about functional activities that are directly related to the problem.

I: Instruct the Patient
As you conduct the treatments, you’ll instruct the patient on proper performance of exercises and show them techniques to relieve any symptoms they’re experiencing. The “I” in PRIMER reminds you to write about that in your note, within the objective and assessment sections.

M: Manage the Response
Whether the patient’s response is pain, poor movement quality, or even difficulty comprehending the correct technique, as the therapist you manage the response in order to ensure a useful session. Work that into your assessment to reflect the skilled treatment you provided that day.

E: Educate the patient
Patient education is an important element to include, and it can fit almost anywhere in the SOAP note.

R: Review the Plan
A typical SOAP note concludes with a section for your plan. That’s a great place to write out notes for the next session or spell out your recommended treatments for the future.

Видео THIS changes Physical Therapy Documentation forever. канала Tim Fraticelli - PTProgress