Physiotherapy Assessment

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Regional High Specialty Hospital of the Yucatan Peninsula Physiotherapy and Rehabilitation

Service Universidad Modelo

PHYSIOTHERAPEUTIC EVALUATION

IDENTIFICATION FILE Date of admission: Valuation date:


Name: Floor: Bed:
Age: Medical Dx:
Associated diseases:

DEGREE OF ALTERATION OF CONSCIOUSNESS

Alert ( ) Lethargy ( ) Dullness ( ) Stupor ( ) Eat ( )

RISK ASSESSMENT FOR PRESSURE ULCERS WITH THE BRADEN SCALE


Variables 1 2 3 4
Sensory perception Total limited Very limited Partially limited No limitation
Humidity Permanent Very humid Occasionally Rarely
Activity Bedridden in chair walk something Walk frequently
Mobility Still Very limited Limited partial No limitation
Feeding poor diet Inadequate Adequate Excellent
Friction and Cracks real problem Potential problem No problem No problem
Result:
Score less than 12 = high risk Total score 13-14 = Moderate risk Total score 15-16 = Low risk

JOINT AND MUSCLE EVALUATION


Location and
EVA
Joint pain

Edema

Location and
EVA
Muscle pain

Observations:
Contractures
EXPLORATION OF THE SENSITIVITY OF THE AFFECTED AREA AND UPPER AND LOWER JOINT

Dermatome Right Left Observations

EVALUATION OF MUSCLE STRENGTH (DANIELS SCALE)

Muscle Right Left Observations

GENERAL REMARKS:

_________________________________________________________________________________________________
PHYSIOTHERAPEUTIC DIAGNOSES:

_____________________________________________
TREATMENT

ELABORATED_____________________________________________

You might also like