Hands/UE-- Current profile has errors and exclusions (Wrist/Hand)- Only digit that has a CMC joint is the thumb - it currently is included for all in the joint mobility section- No place for hand ROM (AROM/PROM needed) measures for digits- wrist/forearm only included- I have been using joint mobility section as the specific joints are listed here to limit my free typing. This is still quite time consuming.- Each consecutive note (including daily notes!!) should include objective measure ROM sections - with more complicated cases including multiple digits/joints sometimes ROM measures take more than one visit.- Passive joint mobility DOES NOT need its own section truly. Can be included as comment box in ROM measure section- Special tests should include Tinel's, Phalen's, Snuff box & Scaphoid shift (Scaphoid Fracture Screen), and Finkelstein's
Neuro/Cognition--There is not currently a profile for this that is appropriate or encompasses needs correctly-No cognitive assessments included in WebPT currently- This type of profile could be used for stroke, ADHD, dementia/alzheimer's, TBI/concussion- Should include sections for memory, attention, executive functioning (adaptable/abstract thinking, planning, self-regulation, impulse control, working memory, time management, and organization), vision, coordination- For stroke patients should include full body ROM (FM and GM), strength, functional communication, ADLs- My suggestion is to make a Neuro Profile which includes all the above aspects as the diagnosis I am thinking of using them for often have a lot of overlap deficit wise because of their basic neurological basis
Please let me know if you have questions on the above info.I truly appreciate your work to improve our documentation to meet our needs!
