Stroke

Select	Name	Description	Delete
	Assistance level UB dressing	Demonstrated good understanding of the technique and will continue to practice independently at home. Patient required [moderate] physical assistance to guide (R) affected UE through shirt due to spasticity. Provided frequent verbal cues and tactile prompts to aid in one-handed dressing technique. Patient demonstrated improved technique but will need continued practice and supervision. Patient required maximum assistance to dress (L) affected UE due to hemiplegia and significant cognitive deficits. Required continuous verbal cues and hand-over-hand guidance throughout the dressing task. Plans to implement a daily practice routine with caregiver assistance to reinforce the technique. Patient required supervision and minimal verbal prompts to ensure proper technique. Demonstrated adequate coordination and strength in (R) unaffected UE to dress (L) affected UE. Patient successfully demonstrated the ability to dress independently using the one-handed technique. Showing improved progress from last session, requiring no physical assistance, only initial set-up. Patient expressed confidence in her ability to continue using the technique at home.
	BED mobility	Fxnl training w/ bridging, midline crossing, trunk control to increase participation in bed mobility. Education on weight bearing on weakness while reaching out BOS to work on sitting balance at EOB.
	Coordination	act w/ use of weak hand to place, grasp, and release item on target by sequence in numbers.
	Educated patient	on one-handed dressing technique with demonstration and then step-by-step walk through implementation. Patient required increased time with threading (R/L) UE through shirt due to decreased coordination and strength. Required MIN/MOD/MAX physical assistance to guide (L/R) *unaffected UE with dressing (L/R) *affected UE.
	Facilitation	w/ arm and hand stretches to maintain muscle length, reduce pain and stiffness, and improve function. 1 set 10 reps w/ 5 second holds for scapular retraction/retraction, shoulder abduction/adduction, shoulder flexion/ext, shoulder rotation, elbow extension, FA pronation/supination, wrist extension, thumb abduction, finger extension. Visual demo and verbal instructions provided throughout session. https://www.youtube.com/watch?v=_ELCjpovYTk
	Facilitation	in Self-Range of Motion Exercises for shoulders, arms, wrists, and fingers. Visual demo and verbal instructions for correct body mechanics and pace
	GROOMING	Tactile cues to encourage bilateral hand use during grooming activities
	Intrinsic muscle	exercises w/ rubber bands to increase grip strength. Pt instructed to perform finger flex/ext.
	part a PROM	PROM completed to affected UE/LE through all available planes to maintain joint mobility and prevent contracture. Therapist provided skilled PROM for tone management and joint protection post-CVA. PROM administered with slow rhythmic pacing to reduce spasticity and promote relaxation. Skilled handling required due to hemiparesis and impaired motor control. PROM performed to maintain functional ROM necessary for ADLs and positioning.
	Patient successfully	demonstrated the ability to dress independently using the one-handed technique. Showing improved progress from last session, requiring no physical assistance, only initial set-up. Pt expressed confidence in the ability to continue using the method at home.
	PROM	Shoulder abduction, shoulder flexion, shoulder internal rotation, shoulder horizontal abduction/adduction, elbow flexion, Forearm pronation/supination, wrist flex/ext, thumb opposition, hip flexors, hip extensor, hip external rotation, hip internal rotation.
	Pt	required supervision and minimal verbal prompts to ensure proper technique. Demonstrated adequate coordination and strength in (R) unaffected UE to dress (L) affected UE
	Pt demonstrated	emotional distress during therapy session, becoming tearful while attempting ADLs. Expressed feelings of frustration and discouragement related to post-stroke functional limitations. Provided empathetic support, allowed brief rest breaks, and adapted activities to the patient’s tolerance. Patient remained engaged with verbal encouragement and cueing. Will continue to monitor emotional status and incorporate strategies to support coping and motivation during rehabilitation.
	Pt ed	on one-handed dressing technique w/ demonstration and then step-by-step walk through implementation. Patient required increased time with threading (R) UE through shirt due to decreased coordination and strength. Required [mod] physical assistance to guide (L) *unaffected UE with dressing (R) *affected UE.
	Pt required	[moderate] physical assistance to guide (R) affected UE through shirt due to spasticity. Provided frequent verbal cues and tactile prompts to aid in one-handed dressing technique. Patient demonstrated improved technique but will need continued practice and supervision.
	short note prom part a	PROM performed to affected UE/LE to maintain ROM and prevent contracture post-stroke.
	Training	on One-Handed-Technique by stabilizing garments w/ unaffected hand while dressing opposite side hand. stabilizing toothbrush w/ weak-sided hand while squeezing toothpaste w/ strong side.

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BED mobility Fxnl training w/ bridging, midline crossing, trunk control to increase participation in bed mobility. Education on weight bearing on weakness while reaching out BOS to work on sitting balance at EOB.

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