COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
SOAP notes
S: subjective, what client says
O: objective, what professional observes
A: assessment, information gained from test
P: plan, plan to do
EMR
electronic medical record
-narrowly focused on medical history but DETAILED
EHR
electronic health records
-more broad, snap shot of patient
companies: Cerner, Epic, Allscripts
Electronic health records
started in 2011-2012
Medical history form
longer version of health screening form.
good place to start
Health screening form
, shorter version of medical history
ex. par-q, hhq
informed consent
seven items needed
1. purpose and explanation of the test
2. clients risk and discomforts
3. responsibilities of the client
4. benefits to be expected
5. inquiries
6. use of medical records
7. freedom of consent
physicians release form
clears someone to perform work again
Fitness Assessment Form
exercise testing. record VO2 max or 1 RM. collect data
Exercise Prescription Interview Form
giving provider information they need on clients.
interviewing client on exercise, filled out with professional and client
Fitness Goals and Exercise Prescription Form
finding motivation on patient
finding goals for patient. rate their commitment 1-5 (likert scale)
Fitness contract