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OTA 2 Lecture 5:. Goals, Functional Limitations, and ADLS. Energy Conservation. From Last Week’s Lab: For the following activities think of 3 means of conserving energy, considering that you have a client with cardiac and pulmonary difficulties: Making vegetable soup
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OTA 2 Lecture 5: Goals, Functional Limitations, and ADLS
Energy Conservation • From Last Week’s Lab: • For the following activities think of 3 means of conserving energy, considering that you have a client with cardiac and pulmonary difficulties: • Making vegetable soup • Planting a flower garden/vegetable garden • Washing, drying and styling their hair • Starting an independent fitness program • Getting groceries • Cleaning a bathroom Please explain your choices for each one and hand this in as your lab mark for this week.
Energy Conservation Techniques What resources did you find? Did you find anything helpful for you (personally)? Let’s list techniques…
SOAP Notes • Documentation of treatment is extremely important • Why? • SOAP Notes are a particular format of recording information regarding treatment procedures. • S: Subjective • O: Objective • A: Assessment • P: Plan
Subjective What the client says: problems from the client perspective Sometimes: your impressions of the client, based on what they said. Only include subjective information that is clinically significant Reason for client’s visit History of presenting information Client-reported symptom data Medications currently being taken
Objective • Measurable and observable information YOU obtain during treatment session • Report behaviors that you observe, not just behaviors being targeted. • Physical symptoms • Gathered from: • Observation of client • Physical examination • Lab results • X-rays
Assessment/Analysis Descriptive terms of where you assess client’s performance during session. Your interpretation of the subjective and objective results
Plan Treatment objectives SMART Goals Outline the course of treatment