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Documentation Tips

Our quick tips provide guidance on documenting at a quick glance.

Interpreters and Translators for Patients With LEP

Jan 26, 2021/Resource

Any provider receiving federal funds, such as Medicare, can’t legally require patients with limited English proficiency to use a family member or friend as an interpreter.

Physical Activity as a Vital Sign (PAVS)

Aug 10, 2022/Test & Measure

This test measures how many days in the past week physical activity was performed at a moderate or vigorous intensity. It also measures how many minutes of physical activity is performed at this level.

Creating a Positive Workplace Culture With Authentic Appreciation

Dec 1, 2021/Open Access

Staff burnout, low morale, and high turnover are an increasing problem in most health care professions, and physical therapy is no exception.

Dix-Hallpike Test

Jan 16, 2013/Test & Measure

Gold standard to confirm the diagnosis of BPPV and identify the semicircular canal (SCC) involvement, particularly posterior SCC involvement.

Lower Extremity Functional Scale (LEFS) for Knee Disorders

Sep 25, 2013/Test & Measure

Lower Extremity Functional Scale (LEFS) for Knee Disorders

Muscular Dystrophy (MD): Duchenne and Becker (DBMD)

Jan 19, 2014/Clinical Summary

PTs help people with DBMD improve their quality of life.

Boston Carpal Tunnel Questionnaire (BCTQ)

Aug 16, 2017/Test & Measure

This is a patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome.

Fracture Risk Assessment Tool (FRAX®)

Aug 7, 2017/Test & Measure

Estimates an individual’s 10-year probability of incurring a hip or other major osteoporotic fracture.

Physical Function in Intensive Care Test (PFIT) or Physical Function in Intensive Care Test-scored (PFIT-s)

Aug 29, 2017/Test & Measure

This test can be used to guide exercise prescription within the ICU as well as measure functional recovery.