Documentation: Reporting Skill and Progress Part 2

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Video Runtime: 34 Minutes; Learning Assessment Time: 15 Minutes

This course is Part 2 in a five-part series on documentation with a focus on reporting skill and progress and how you can get the best out of your documentation. This course demonstrates how to show skill as therapists with high-level patients. A high-level patient will perform different posture, balance, and muscle strength tests. This is followed by an explanation of how to show progress with that patient and what to include in a discharge note.

This is course 2 in a series of five. Below are all the courses in the series.

Meet your instructor

Carole B. Lewis

Dr. Lewis has worked in home health, long-term care, acute hospitals, rehabilitation departments and outpatient clinics. She started a private practice in Washington, D.C. in 1981 and continues to work as a clinician. Dr. Lewis received her two master’s degrees in health care management and gerontology from the University of…

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Chapters & learning objectives

1. Application to Actual Cases: High Level

This chapter introduces a high level patient who performs posture and balance tests in video demonstrations.

2. Testing Strength

This chapter follows the same high level patient who is moved to a treatment table to test their dynamometry strength. Also included are manual muscle strength testing, plank testing, and measuring range of motion.

3. Assessment

This chapter looks at the assessment of the results from the tests in Chapter 1 and 2. How to document the skill and progress for this high level patient is shown.

More courses in this series

Documentation: Reporting Skill and Progress Part 1

Carole B. Lewis