Where would you document a patient’s report of noncompliance with their home exercise program in a SOAP note?

The PT has asked you to see Mr. K this afternoon to instruct him in his HEP and gait with crutches on stairs. When you arrive in the patient’s room, the patient is in the w/c and being taken out to his car. The patient refuses to allow you time for the instruction saying, “All I want to do is get out of this hospital.” Write a note that you would enter into the medical record for this patient based upon the above scenario. (2 points)

A physical therapist assistant who clocks in and out each day is considered a non-exempt employee. 

Only encounters with ethnic/minority patients are considered cross-cultural encounters

Not being able to work because of a broken ankle falls under the following category in Nagi.

When providing care to a person of a different culture than one’s own, it is important to assume that what you have learned about that culture and illness will be the way this person will behave. 

In the ICF model, which would best fit within the body structure category?

Write the following information in a more clear and concise manner as it would appear in the medical record. Up and down 4 stairs with a handrail that was on the right side going up and on the left side coming down; the patient used a straight cane. He required supervision from the PTA.  (2 points)

According to Bircher, how long should medical records be kept by a medical facility?

Of the following, how can a physical therapist assistant best determine what tests/measurements to perform during a treatment session?