Plan
notes
The final component of the note is used to outline the plan for future sessions. The therapist should report on what the patient's Home exercises will be, as well as the steps to take in order to reach the functional goals. Changes to the intervention strategy are documented in this section.
Common errors:
might need a reminder system here for either a diary system or an 'alarm clock' signal when imminent also an onward referral or discharge tab(? )
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.
(from my own observations of my patient)
(use info button below for guidance)
done by parent and child
| 1 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand |  |
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|---|---|---|---|
| 2 | Move feet and knees through the available range |  |
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| 3 | Move legs through the available range, if strong resistance felt, wait for leg to relax to gain a little more range. depending on the level of spasticity, hold legs appropriate to where long or short leverage is required |  |
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| 1 | Hamstring stretch: with the child sitting with legs stretched out in front and knees straight, parent places their legs gently over the child’s knee, holding forearms or hands while child leans forwards. Hold the stretch for 30 counts and repeat. |  |
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|---|---|---|---|
| 2 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
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| 3 | Increasing tone in elbows |  |
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| 4 | Sitting balance |  |
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| 5 | Move feet and knees through the available range | |
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| 6 | Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required... if strong resistance felt, wait for leg to relax to gain a little more range | |
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| 7 | Improving upper limb movement | |
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| 8 | Chest physiotherapy techniques |  |
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| 1 | When kneeling, help child to place one leg in front and stay still for 10 secs. Then, supporting hips, help child to stand up fully, with knees straight. |  |
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| 2 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
| 3 | Sitting balance | |
|
| 4 | Move feet and knees through the available range | |
|
| 5 | Move legs through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required... if strong resistance felt, wait for leg to relax to gain a little more range | |
|
| 1 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
|---|---|---|---|
| 2 | Increasing tone in elbows | |
|
| 3 | Encouraging arm movement with reaching |  |
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| 4 | Sleeping positions |  |
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| 1 | Increasing tone in limbs |  |
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|---|---|---|---|
| 2 | Encouraging arm movement with reaching |  |
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| 3 | Reaching positions |  |
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| 1 | Support child's hips whilst in crawling position and with straight elbows, for 10 seconds...Continue to support and ask child to raise one arm forward. Repeat both sides |  |
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|---|---|---|---|
| 2 | When kneeling, help child to place one leg in front and stay still for 10 secs. Then, supporting hips, help child to stand up fully, with knees straight. | |
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| 3 | Seated on low furniture or parent's lap, ask the child to lean forwards and then stand up. Support the child at the hips. Repeat 5-10 times or as per tolerance. |  |
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| 4 | While lying down, encourage the child to sit using weight on forearm, placing your hand behind their opposite shoulder... help the child to sit up slowly, taking weight through their own hand |  |
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| 5 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
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| 7 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
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| 8 | Increasing tone in elbows | |
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| 9 | Sitting balance | |
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| 10 | Sitting balance on ball |  |
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| 11 | Standing and reaching |  |
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| 13 | Standing frame |  |
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| 14 | Standing frame alternatives |  |
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| 15 | Stretch the elbow by gently straightening the arm... if resistance occurs, pause before continuing when it has lessened |  |
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| 16 | Stretching on the wedge |  |
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| 17 | Encourage hip flexion with supported walking |  |
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| 18 | Move feet and knees through the available range | |
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| 19 | Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required...if strong resistance felt, wait for leg to relax to gain a little more range | |
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| 22 | Improving upper limb movement | |
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| 23 | Positioning to encourage head and neck strength |  |
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| 25 | Resting positions | |
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| 26 | Sleeping positions |  |
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| 28 | Strengthening upper limbs |  |
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| 29 | Strengthening lower limbs |  |
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| 30 | Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible |  |
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| 1 | Support child's hips whilst in crawling position and with straight elbows, for 10 seconds...Continue to support and ask child to raise one arm forward. Repeat both sides | |
|
|---|---|---|---|
| 2 | When kneeling, help child to place one leg in front and stay still for 10 secs. Then, supporting hips, help child to stand up fully, with knees straight. | |
|
|
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| 3 | Seated on low furniture or parent's lap, ask the child to lean forwards and then stand up. Support the child at the hips. Repeat 5-10 times or as per tolerance. | |
|
| 4 | While lying down, encourage the child to sit using weight on forearm, placing your hand behind their opposite shoulder... help the child to sit up slowly, taking weight through their own hand | |
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| 5 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
| 7 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
| 8 | Increasing tone in elbows | |
|
| 9 | Sitting balance | |
|
| 10 | Sitting balance on ball | |
|
| 11 | Standing and reaching | |
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| 13 | Standing frame | |
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| 14 | Standing frame alternatives | |
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| 15 | Stretch the elbow by gently straightening the arm... if resistance occurs, pause before continuing when it has lessened | |
|
| 16 | Stretching on the wedge | |
|
| 17 | Encourage hip flexion with supported walking | |
|
| 18 | Move feet and knees through the available range | |
|
| 19 | Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required...if strong resistance felt, wait for leg to relax to gain a little more range | |
|
| 22 | Improving upper limb movement | |
|
| 23 | Positioning to encourage head and neck strength | |
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| 25 | Resting positions | |
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| 26 | Sleeping positions | |
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| 28 | Strengthening upper limbs | |
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| 29 | Strengthening lower limbs | |
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|
|||
| 30 | Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible | |
|
| 1 | Support child's hips whilst in crawling position and with straight elbows, for 10 seconds...Continue to support and ask child to raise one arm forward. Repeat both sides | |
|
|---|---|---|---|
| 2 | When kneeling, help child to place one leg in front and stay still for 10 secs. Then, supporting hips, help child to stand up fully, with knees straight. | |
|
|
|||
| 3 | Seated on low furniture or parent's lap, ask the child to lean forwards and then stand up. Support the child at the hips. Repeat 5-10 times or as per tolerance. | |
|
| 4 | While lying down, encourage the child to sit using weight on forearm, placing your hand behind their opposite shoulder... help the child to sit up slowly, taking weight through their own hand | |
|
|
|||
| 5 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
| 7 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
| 8 | Increasing tone in elbows | |
|
| 9 | Sitting balance | |
|
| 10 | Sitting balance on ball | |
|
| 11 | Standing and reaching | |
|
| 13 | Standing frame | |
|
| 14 | Standing frame alternatives | |
|
| 15 | Stretch the elbow by gently straightening the arm... if resistance occurs, pause before continuing when it has lessened | |
|
| 16 | Stretching on the wedge | |
|
| 17 | Encourage hip flexion with supported walking | |
|
| 18 | Move feet and knees through the available range | |
|
| 19 | Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required...if strong resistance felt, wait for leg to relax to gain a little more range | |
|
| 22 | Improving upper limb movement | |
|
| 23 | Positioning to encourage head and neck strength | |
|
| 25 | Resting positions | |
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|
|||
| 26 | Sleeping positions | |
|
|
|||
| 28 | Strengthening upper limbs | |
|
| 29 | Strengthening lower limbs | |
|
|
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| 30 | Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible | |
|
| 6 | For children with hemiplegia, this exercise stretches their affected arm with the help of their unaffected one and can be done using a stick shaped toy, standing or sitting |  |
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|---|---|---|---|
| 7 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
| 8 | Increasing tone in elbows | |
|
| 9 | Sitting balance | |
|
| 10 | Sitting balance on ball | |
|
| 12 | Standing and reaching | |
|
 |
|||
| 13 | Standing frame | |
|
| 14 | Standing frame alternatives | |
|
| 15 | Stretch the elbow by gently straightening the arm... if resistance occurs, pause before continuing when it has lessened | |
|
| 16 | Stretching on the wedge | |
|
| 17 | Encourage hip flexion with supported walking | |
|
| 18 | Move feet and knees through the available range | |
|
| 19 | Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required...if strong resistance felt, wait for leg to relax to gain a little more range | |
|
| 20 | Encouraging arm movement, with reaching | |
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| 21 | For floppy or decreased tone | |
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| 22 | Improving upper limb movement | |
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| 23 | Positioning to encourage head and neck strength | |
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| 24 | Strengthening exercises for upper limbs |  |
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| 25 | Resting positions | |
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| 26 | Sleeping positions | |
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| 28 | Strengthening upper limbs | |
|
| 29 | Strengthening lower limbs | |
|
|
|||
| 30 | Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible | |
|
| 1 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
|---|---|---|---|
| 2 | Move feet and knees through the available range | |
|
| 3 | Move legs through the available range, if strong resistance felt, wait for leg to relax to gain a little more range. depending on the level of spasticity, hold legs appropriate to where long or short leverage is required | |
|
| 6 | For children with hemiplegia, this exercise stretches their affected arm with the help of their unaffected one and can be done using a stick shaped toy, standing or sitting | |
|
| 10 | Sitting balance on ball | |
|
| 11 | Standing and reaching | |
|
| 12 | Standing and reaching | |
|
| 20 | Encouraging arm movement, with reaching | |
|
| 23 | Positioning to encourage head and neck strength | |
|
| 30 | Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible | |
|
| 1 | Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand | |
|
|---|---|---|---|
| 3 | Move legs through the available range, if strong resistance felt, wait for leg to relax to gain a little more range. depending on the level of spasticity, hold legs appropriate to where long or short leverage is required | |
|
| 6 | For children with hemiplegia, this exercise stretches their affected arm with the help of their unaffected one and can be done using a stick shaped toy, standing or sitting | |
|
| 10 | Sitting balance on ball | |
|
| 11 | Standing and reaching | |
|
| 12 | Standing and reaching | |
|
|
|||
| 23 | Positioning to encourage head and neck strength | |
|
| 30 | Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible | |
|
Plan
notes
The final component of the note is used to outline the plan for future sessions. The therapist should report on what the patient's Home exercises will be, as well as the steps to take in order to reach the functional goals. Changes to the intervention strategy are documented in this section.
Common errors:
might need a reminder system here for either a diary system or an 'alarm clock' signal when imminent also an onward referral or discharge tab(? )
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.
