I will appreciate some input on the documnetaion for MH, objective notes states treatment done however I will like to know if time in minutes must be documented or Not, listed two Scenarios
Modalities:
MH to: wrist
Manual:
STM/MFR:
STM/MFR scar and edema massage
Joint Mobs to: wrist - distraction and oscilation of carpals
Therapeutic Activities & Therapeutic Exercises: heat and stretch, PROM - wrist flex, ext, sup, pron, uln and rad dev, manual resistance against pt motion, PRE's #4
Summary:
Scenario 1
Ther Ex: 30 min
Manual: 10 min
Total Time: 45 min
Comments: hot pack 5 min
Time in: 4:30
OR
Scenario 2
Ther Ex: 30 min
Manual: 10 min
Total Time: 45 min
Time in: 4:30
Time out: 5:15
Modalities:
MH to: wrist
Manual:
STM/MFR:
STM/MFR scar and edema massage
Joint Mobs to: wrist - distraction and oscilation of carpals
Therapeutic Activities & Therapeutic Exercises: heat and stretch, PROM - wrist flex, ext, sup, pron, uln and rad dev, manual resistance against pt motion, PRE's #4
Summary:
Scenario 1
Ther Ex: 30 min
Manual: 10 min
Total Time: 45 min
Comments: hot pack 5 min
Time in: 4:30
OR
Scenario 2
Ther Ex: 30 min
Manual: 10 min
Total Time: 45 min
Time in: 4:30
Time out: 5:15