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Clinical Documentation Supporting to Slow the Rate of Decline

Chris Wilson, PT, DScPT, DPT, GCS

November 2, 2016

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Question

Do have examples or key phrases you use in your assessment part of your note to justify PT to slow the rate of decline in patients chronic condition?  

Answer

Useful key phrases: 

Without PT, the patient's (body function/structure) would likely decline at a faster rate causing dysfunction to (participation or activity)

Skilled therapy services are neeeded to ensure safety during (activity) due to the instability of the (health condition)

To optimize remaing quality of life, skilled PT is medically necessary to train the caregivers in X to advoid Y

Without preventative interventions by PT for (body function/structure), the risk of hospitalization is significantly heightened.  


chris wilson

Chris Wilson, PT, DScPT, DPT, GCS

Dr. Wilson is an assistant professor at Oakland University and an education coordinator at Beaumont Health, – Troy Hospital where his clinical focus is Geriatrics and Acute Care Palliative Care. He is active in clinical research in the areas of Hospice/Palliative Care and Safe Patient Handling and Injury Prevention. Dr. Wilson received his DScPT from Oakland University.  He received his transitional DPT from University of St. Augustine with a Primary Care Certification and his Masters in PT from Oakland University.  In the past, Chris has served the professional community as an Item Writer for the PT National Licensure Examination. In 2008, Chris obtained his ABPTS Geriatric Clinical Specialist Certification (GCS). Chris has been awarded Signe Brunnström Award for Excellence in Clinical Teaching in 2015 and the APTA Emerging Leader Award for 2009.

He has been a Delegate for the APTA House of Delegates for 10 years.  Chris is currently serving as the Oncology Section’s Hospice SIG Chair and as the coordinator of the Hospice/Palliative Care subgroup for the WCPT’s International HIV, Oncology, Palliative care (IPT-HOPE).  Dr Wilson has recently served on the Michigan Physical Therapy Association’s Board of Directors as Conference Director and recently served as Chief Delegate for Michigan.  Chris has previously completed 2 terms as MPTA Eastern District Chair. He is also the current Treasurer of the MPT-PAC.   Chris has been involved with the APTA at the national level as co-chair of the Midwest Regional Caucus in 2011.


Related Courses

How a Comprehensive Geriatric Assessment Can Improve Clinical Outcomes
Presented by Chris Wilson, PT, DScPT, DPT, GCS
Recorded Webinar

Presenter

Chris Wilson, PT, DScPT, DPT, GCS
Course: #2812Level: Intermediate2 Hours
  'very quick but effective assessments were demonstrated that are very applicable to my patient population'   Read Reviews
This session will describe the concepts of a comprehensive geriatric assessment and how a multi-system, interdisciplinary assessment and management of older adults can assist in improving the quality of life. Concepts will include physical assessment, vision, hearing, frailty pharmacology and home and community assessment and the physical therapist/physical therapist assistant’s role in these areas. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.

Palliative Care Concepts for the Rehabilitation Professional: Adapting to an Evolving Disease Process
Presented by Chris Wilson, PT, DScPT, DPT, GCS
Recorded Webinar

Presenter

Chris Wilson, PT, DScPT, DPT, GCS
Course: #2473Level: Intermediate2 Hours
  'Good knowledge'   Read Reviews
This educational session will discuss the palliative care philosophy, similarities and differences between palliative care and hospice care, current physical therapy practice approaches and practice patterns, a focus on quality of life, and integration and complimenting hospital based-palliative care programs. Evidence based palliative care approaches and functional outcome measures will be introduced in a case study format for clinicians to immediately apply to the clinical setting. This course is directly related to the practice of physical therapy and is appropriate for the PT and PTA. This course is open captioned.

Physical Therapy and Safe Patient Handling and Mobility: Optimum Outcomes and Safety for Everyone
Presented by Chris Wilson, PT, DScPT, DPT, GCS
Recorded Webinar

Presenter

Chris Wilson, PT, DScPT, DPT, GCS
Course: #2758Level: Intermediate2 Hours
  'good visual examples/videos'   Read Reviews
This session will discuss the innovative ways that therapists can use safe patient handling equipment (lifts, standing frames, etc) to optimize outcomes in acute care, inpatient rehab and outpatient care. In order to achieve these outcomes, participants will learn about various important concepts to safe patient handling and mobility. This course is directly related to the practice of physical therapy and therefore appropriate for the PT and PTA.

Cancer Rehabilitation Core Concepts
Presented by Chris Wilson, PT, DScPT, DPT, GCS
Recorded Webinar

Presenter

Chris Wilson, PT, DScPT, DPT, GCS
Course: #2675Level: Intermediate2 Hours
  'This course offered applicable, useful information for immediate use in the clinic setting'   Read Reviews
This seminar will introduce core concepts in the interdisciplinary management of the patient with cancer, including pre-diagnosis, prevention, active treatment, late effects and end of life care and will include core therapy techniques such as new concepts in manual therapy, lymphedema bandaging, and rehabilitation services during active treatment (surgery, radiation and chemotherapy.) The seminar will emphasize physical therapy patient management in the outpatient, acute care and multidisciplinary clinical settings including case-based activities with an emphasis on exercise and cancer survivorship/wellness. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.

Mindfulness: Beyond Guided Meditation
Presented by Jennifer Stone, PT, DPT, OCS, PHC
Recorded Webinar

Presenter

Jennifer Stone, PT, DPT, OCS, PHC
Course: #3902Level: Intermediate2 Hours
  'Very organized'   Read Reviews
Mindfulness can be a really powerful cognitive-behavioral tool and has many relevant applications when treating patients with pain, especially chronic pain. Many courses for rehabilitation professionals teach guided meditation, which is an amazing tool. However, mindfulness has many other applications and opportunities for use in the treatment of patients with pain. This session discusses the history and science behind mindfulness, as well as provides a variety of practical mindfulness tools for the everyday practitioner. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.