How a Physical Therapy progress note must be done in a home health setting.

A physical progress note should use statements which can be used to assess the patient’s response to therapy such as:
a. “Able to perform exercises as prescribed for 15 reps”
b. “Able to safely transfer from bed to wheelchair with standby assistance”
c. “Can now abduct shoulder 120 degrees”
d. “Can bridge now sufficiently to pull slacks up over hips”

Therapists should avoid terms when writing progress notes such as:
a. Doing well
b. Improving
c. Less pain
d. Increased range of motion
e. Increased strength
f. Tolerated treatment well