Soap notes and flags

Pt

Patient

C/o

compalins of

H/a

Headache

C-sp

Cervical spine

T-sp/ D-sp

Thoracic spine / Dorsal spine

L-sp/Ls-sp

Lumbar spine

CD

cervical dorsal

DL

Dorsal lumbar

Jt

Joint

P with a cirle around it

Pain

cont

continued

sh

shoulder

B with a cirle around it

Bilateral

ant

anterior

post

posterior

Flex

flexion

ext

extension

Inf

inferior

sup

superior

ROM

range of motion

ADL’s

Activities of daily living

Blue and yellow flag

Dr clake needed

orange

therapist neeeded

Blue

unattended therapy

Vitals needed

all but orange and green

new patient exam

berry flag

Ems therapy

Impulses through patchesto stimulate nerves and reduce pain, and increase circulation

Ist

Helps normal ROM to the spine

cervical

neck

thoracic

upper back

lumbar

lower back

what do Pt not get after the 10th visit

heat

Ultrasound intensity for Cervical

0.5

Ultrasound intensity for thoracic

1.0Ultrasound intensity for

Ultrasound intensity for lumbar

1.5

Ultrasound intensity for extremities

0.5

P

heat