Professional Documents
Culture Documents
Description of Experience
This week was the first time I had the
opportunity of treating a patient within the
general public. I had a patient who didnt
really fill out their Health History form well
enough to realize what she wanted. After
going through the Health History I managed
to find out my patient suffers with carpal
tunnel syndrome. She developed it by
working in a factory always lifting boxes
daily. Her initial treatment was to focus on
her forearms and arms. After doing all my
assessments and treating her forearms and
arms after I thought the treatment went
well as my patient booked another
appointment. Afterwards creating the SOAP
note was difficult at first but I eventually got
the hang out of it. Next week I will treat and
assess her back as we didnt have time to
treat her back this week. I will also perform
an SOT of the wrist for her carpal tunnel
syndrome.
Thursday Sept.
18, 2014
Thursday Sept.
25, 2014
Patient
ID
Type/ Focus of
Treatment Plan
Date
Thursday Treatment
September at 12pm 11, 2014
1pm
Rehabilitation
Treatment
- Patient came for her
initial visit and wanting
a rehabilitation
treatment of her right
forearm as she has
carpal tunnel syndrome.
1st
treatment
12pm1pm
2nd
treatment
1:30pm2:30pm
Wellness Treatment
(1st)
- This patient rebooked
with me again, this time
wanting a wellness
treatment of her entire
back
Wellness Treatment
(2nd)
- This patient came in
wanting a wellness
treatment of his entire
back
Thursday
September
18, 2014
Procedures
Completed
(Assessment/
Treatment/
Modalities/ Home
Care)
-Health History, Pain
Assessment, Blood
Pressure, Postural
Assessment.
-30min Assessment
& 30min
rehabilitation
massage on both
arms and forearms
-Completed SOAP
note and created a
treatment plan for
the next treatment.
1st Treatment
- Reassessed her
wrist, perform SOT
(phalens test),
assessed her back
(thoracolumbar),
follow up questions
- 15min Assessments,
45min Wellness
massage for entire
back
- Completed SOAP
note & treatment for
next week
2nd Treatment
- Health History,
Blood Pressure,
Postural Assessment
Comments
-Today I had
the role of a
student
massage
therapist. I
was able t to
treat my first
patient. I had
one patient to
treat. I was
nervous at
first but
everything ran
smoothly
after.
- Today I had
the
opportunity to
treat two
patients. This
week ran
smoother
than last week
as I was
getting the
hang of
things. I was
happy to
know my
patient
rebooked with
me again this
week.
Thursday Treatment
September
12pm25, 2014
1pm
- 15min Assessment,
45min Wellness
massage treatment
for entire back
- Completed SOAP
note & treatment
plan for next week
Wellness/Rehabilitative - Followed up with
- returning patient,
last weeks treatment
wanting a wellness
- Reassessed her
massage in her
wrist (pain with
anterior/posterior full
flexion)
leg. Also complaint
- Assessed her
about her wrist (carpal
hip/ankle (no pain)
tunnel)
-15min Assessments,
45min Wellness
massage for entire
anterior/posterior
full leg, &
Rehabilitative
massage for
forearms
- Completed SOAP
note & treatment
plan for next week
Today I had
my returning
patient. She
had a
complaint
about her
recurring wrist
pain. I
reassessed
her wrist and
she had pain
with flexion. I
did a wellness
and treatment
&
rehabilitative
treatment.
Overall I felt
good about
this
treatment.