Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Clinic II

Tri 2

QuestionAnswer
Soap Notes-Subjective Pt. Assesment of status(mini-history), Pt view or interpretation of problem, care, progress. Paraphrases/quote Pt., do not change meaning, OPQRST,
OPQRST-Onset When did it start? Time? Date? Sudden or gradual, did anything contribute?
OPQRST-Palliative/provoking What makes it worse?(Rest, time of day, positions, etc)
OPQRST-Quality Describe the pain you feel? (sharp, dull, burning throbbing etc), How would you rate the pain on a scale of 1-10.
OPQRST-Radiating Does the pain radiate to any other part of the body? If yes, describe
OPQRST-Site Describe the location including the side and level
OPQRST-Timing Is it constant or intermitant? Since when, What frequency, What is the duration?
Soap Notes-Objective Where results of msmnt are performed and the doctor's objective observations of the Pt are recorded. Objective data are the measurable and observable information used to plan the Pt treatment plan. Should be consistant and repeatable
Objective Tests leg checks, Orth tests, ROM, Posture finding, thermography readings, EMG, Neurocalamoter, Taut and Tender, Trigger Pts, Motion Palpation, Neuro tests, X-rays, MRI, Urinalysis etc
Objective for Medicare must demonstrate a subluxation and must be repeatable, must use P.A.R.T format
P.A.R.T for Medicare P-Pain and Tenderness A- Asymmetry/misalignment R-ROM abnormalities T-Tissue Tone changes
SOAP- Assessment Appraisal of Pt Progress or lack of. There are four parts to be assessed..The problem list, longterm goals, Short term goals, summary
Problem List Provides summary of Pt major complaints and is used as a reference for other health care provides. List order of importance
Long Term Goals must be structured and slearly defined, prioritizes treatment, moniters cost effectiveness
Short term goals Based on Pt complaint, immidiate course of treatment
Pt first visit list diagnosis for Pt
Pt second visit DC evaluation of Pt progress
SOAP- Plan Technique you plan to use, determine major segment to adjust, List modalities used, parameters, Referrals, NPV
Intern Records Patient File, Doctor/Clinic ID, Patient ID, Pt demographics, Healthcare coverage, Pt Hx, Exam findings, Special Studies, Misc assessment, Clinical impressions, Care Plan, Chart/Progress notes, Re-exam, Financial records
External Records Direct Coorespondence, Health records, Diag imaging, External reports
Created by: hwhite
Popular Chiropractic sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards