Elbow treatments

Analysis notes

What did you discover?

This is potentially the most important legal note because this is the therapists professional opinion in light of subjective and objective findings. It should explain the reasoning behind all decisions taken and clarify and support the analytical thinking behind the problem-solving process. How you arrived at the stated goals should be indicated, as well as any factors that may require modification, such as frequency, duration or intervention itself. Adverse, as well as positive responses should be documented.

Common errors:

The assessment is too vague e.g. "Patient is improving"
Little insight is provided.

Essentially:

document the diagnosis you arrived at
include causes of the diagnosis
Red flag anything to be aware of (we need to treat patient holistically) note any inconsistencies

Using notes:

Simply type a note and press "Enter" key. You can edit existing notes or delete a note. To delete all your notes, use "Clear". However, as this will remove all notes on this page it is advised to copy and paste them into a document and store them elsewhere before clearing them here.