ANSWERS WITH SOLUTIONS 2024
SOAP notes - ANSWER subjective, objective, assessment, plan
EMR - ANSWER electronic medical record
more narrowly focused detailed history
EHR - ANSWER electronic health record
more broad "snap shot" of history
popular EHR companies - ANSWER cerner, epic, all scripts
paper vs electronic documentation - ANSWER if providers can show meaningful use they can get
financial support
government incentives to switch to electronic documentation - ANSWER 3 phase program
began in 2011-2012
medical history form - ANSWER longer version of health history form
can be filled out by the individual or they can be asked questions
use judgement
ask if they would like assistance
, health screening form - ANSWER shorter version of medical history form
not to be used with high risk patient or patient with doctor prescribed exercise
informed consent document should include - ANSWER purpose and explanation of the test
clients risks and discomforts
responsibilities of the client
benefits to be expected
inquiries
use of medical records
freedom of consent
physician release forms - ANSWER not needed by those that do not need medical clearance
fitness assessment form - ANSWER allows recording of VO2 max, 1RM, flexibility, etc.
fitness goals - ANSWER keep goals limited to start out with
"likert scale" to rate commitment/importance to goals
fitness contract - ANSWER not a binding contract
is a motivator for individual