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PT Client Management Canvas Âť Initial Data Medical diagnosis (Dx):

Date of Dx: Year

CVA - left hemisphere

- 1 year

Month

Day

Client:

Physical Therapist:

Pual

you

Date of birth: Year

80 years old

Month

Day

Gender:

Date of intake: Year

M

today

Month

Interview & informal observation

Guidelines, evidence & remarks

Peppen et al. 2004 (KNGF guidelines), Shumway-Cook et al. 2012

www.getPTsmart.com

This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/ or send a letter to Creative Commons, 444 Castro Street, Suite 900, Mountain View, California, 94041, USA.

Day


PT Client Management Canvas Âť Problem Tracking Problem list of activity limitation & participation restriction (existing, anticipated, patient- & non-patient identified)

Client:

Physical Therapist:

Pual

you

Date

Baseline Functional measures

Date

Goal Functional measures

Date

Progress / discharge Functional measures

Date

Testing & predictive criteria

Date

Testing & predictive criteria

Date

Testing & predictive criteria

Activities & participation

1

2

3

4

5

6

Problem # 1

2

3

4

5

6

Hypotheses of causative impairments & other factors

Body functions & structures (and Contextual factors)

1

2

3

4

5

6

7

8

9

10

www.getPTsmart.com

This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/ or send a letter to Creative Commons, 444 Castro Street, Suite 900, Mountain View, California, 94041, USA.


PT Client Management Canvas Âť Examination

Client:

Physical Therapist:

Pual

you

Findings

Indications

Tests & measurements

Findings

Indications

Body functions & structures (and Contextual factors)

Activities & participation

Tests & measurements

www.getPTsmart.com

This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/ or send a letter to Creative Commons, 444 Castro Street, Suite 900, Mountain View, California, 94041, USA.


PT Client Management Canvas » Intervention Problem #’s

Hypotheses #’s

www.getPTsmart.com

Strategy

Tactic (description, intensity, duration & frequency)

Client:

Physical Therapist:

Pual

you

Implemeter

Progression & Remarks

This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/ or send a letter to Creative Commons, 444 Castro Street, Suite 900, Mountain View, California, 94041, USA.


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