Click-to-copy sitting & standing tolerance documentation for PTs and PTAs in skilled nursing. Free, no login.
SITTING TOLERANCE - Patient was lead through Edge of bed --- edge of mat table activity; requiring minimal -- moderate --- maximum support. Patient was given verbal --- tactile cues for posture, foot and hand placement, patient tolerance sitting well for --- ~15mins.
SITTING WHEELCHAIR - Patient was instructed through and monitored with wheelchair sitting for alignment and posture.
STANDING TOLERANCE - Patient stood in parallel bars --- with a walker; requiring minimal -- moderate --- maximum support. Patient was given verbal --- tactile cues for posture, foot and hand placement, patient tolerated standing well for --- ~15mins.
STANDING FRAME - Patient was placed in standing frame for --- minutes and was observed for any adverse response; patient tolerated treatment well.
W/C POSTURE - Patient positioned properly in wheelchair and given verbal and tactile cues on proper positioning.
In order to increase participation in ADLs with dressing, hygiene, grooming and feeding, patient was coached through bed exercises with max A via rolling to L/R using siderails and supine to/from sit for improved sequencing and independence of tasks. Patient was progressed through sitting tolerance at edge of bed in order to assess and improve static and dynamic balance via sitting with/without use of BUE, sitting eyes closed, reaching of objects in all directions, scooting forward/backwards/sideways, and marching. Additional goals for tx were to increase BLE strength, coordination, postural awareness, and functional activity tolerance. Patient required maximal verbal/tactile facilitation in order to initiate tasks and perform tasks correctly. Patient was coached through stand-pivot transfers bed to/from WC with max A in order to improve functional mobility and decrease need for caregiver assistance. Patient required maximal verbal prompting, visual cueing, and tactile facilitation to enhance strength contraction to anti-gravity musculature and improve sequencing of activity. While in sitting in WC, patient was lead through strengthening to B hips, quads, and ant. tib. via AROM for improved functional strength against gravity.
Pt was provided with standing tolerance 15 secs each attempts inside // bars with rest breaks as well as training of breaking down of tasks: BOS positioning, UE support, fwd trunk leaning, and hip-knee extension training at max A.
Patient tolerated unsupported EOB sitting x --- min before requiring UE support, improved from --- min, supporting the goal of --- min sitting tolerance.
Patient tolerated standing at // bars x --- min x --- bouts. Patient c/o --- ; vitals BP --- and HR --- remained within parameters.
Patient tolerated upright w/c sitting x --- hours per nursing report without adaptive positioning, supporting the goal of --- hours.
Patient tolerated standing at RW x --- min while performing functional reaching to a --- inch surface to build task-specific tolerance.
Patient tolerated seated activity x --- min; RPE reported at --- of 10 with --- rest breaks required.
Patient tolerated standing x --- min with EZ Stand support to build upright loading tolerance following --- days of bed rest.
Patient tolerated sitting EOB x --- min with dynamic reaching outside BOS; postural fatigue observed at --- min.
Patient tolerated tilt table at --- degrees x --- min; BP --- and HR --- monitored q --- min with no orthostatic symptoms reported.
Patient tolerated standing tolerance training x --- min at the sink to simulate grooming; c/o --- at --- min.
Patient tolerated functional activity x --- min in total this session, progressing toward the goal of --- min of functional activity tolerance.
Patient tolerated standing x --- min x --- bouts with a --- min seated recovery required between bouts; recovery time decreased from --- min.
Patient tolerated unsupported sitting x --- min with the head of bed flat; PT graded the task by removing B UE support at --- min.
Patient tolerated w/c sitting x --- min prior to c/o discomfort at ---; PT recommended a pressure relief cushion trial.
Patient tolerated standing tolerance x --- min; SpO2 fell from --- to --- percent, requiring a seated rest break and O2 titration per nursing.
Patient tolerated upright activity x --- min with vitals monitored; patient exhibits --- limiting further progression this date.
Patient tolerated seated tolerance training x --- min while performing a functional task, demonstrating that distraction extends tolerance beyond static sitting.
Patient tolerated standing x --- min at // bars, an increase from --- min last week, reflecting measurable progress toward PLOF.
Patient tolerated EOB sitting x --- min with TC at the trunk faded to none at --- min; patient self-corrected --- LOB.
Patient tolerated standing x --- min with B UE support at RW; patient reported --- of 10 pain at --- limiting further standing.
Patient tolerated activity x --- min then required a seated break 2/2 --- ; PT educated patient on pacing and energy conservation.
Patient tolerated w/c propulsion and sitting x --- min combined, reflecting the endurance required for meal attendance in the dining room.
Patient tolerated standing x --- min; patient exhibited increased postural sway after --- min, indicating fatigue-related fall risk.
Patient tolerated seated activity x --- min in the therapy gym without a rest break, improved from --- min at eval.
Patient tolerated standing x --- min while completing a --- step functional sequence to demonstrate carryover to ADL.
Patient tolerated sitting EOB x --- min with LE dangling to build orthostatic tolerance before progressing to standing.
Patient tolerated activity for --- min; PT terminated the session early 2/2 --- and notified nursing.
Patient tolerated standing tolerance x --- min with the goal of --- min; deficit attributed to --- and addressed via ---.
Patient tolerated upright sitting x --- min with a --- degree recline, progressed from --- degrees, demonstrating improved trunk control.
Patient tolerated activity x --- min; RPE decreased from --- to --- of 10 for the same workload, indicating improved conditioning.
Patient tolerated standing x --- min; PT and patient collaboratively set a --- min target for next session and patient verbalized agreement.