CONSIDERATIONS for TREATMENT RECOMMENDATIONS
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1 FIG Services, Inc. P.O. Box 1161 Hendersonville, NC Ph Fx FIGservices.com DATE: CLIENT: PHYSICIAN: DIAGNOSIS: CONSIDERATIONS for TREATMENT RECOMMENDATIONS Medical Care PCP Pediatrician Physiatrist Pain management Orthopedist Neurologist Burn Specialist Plastic Surgeon Dermatologist Pulmonologist Gastroenterologist Urologist ENT Audiologist Ophthalmologist Psychiatrist Psychologist Neuropsychologist Nutritionist Cardiologist Endocrinologist Rheumatologist Fertility 2016, Shelene Giles 1
2 OB/GYN Vascular Specialist Wound Specialist Podiatrist Dentist Surgeries/Procedures Replacement revision Hardware removal Intrathecal pump Spinal cord stimulator Reconstructive surgery Injections Blocks Invasive procedures Implant Transplant Gastrointestinal Urological Amputation Musculoskeletal Neurological Therapeutic Evaluations/Modalities Neuropsychological Psychological Physical therapy Occupational therapy Speech Cognitive Nutrition Respiratory Recreational therapy Lymphadema Counseling Aquatic therapy Hippo therapy Assistive technology Driving 2016, Shelene Giles 2
3 Diagnostic Studies X-rays MRI CT scan EMG/NCV studies Bone density scan Venous Doppler study Ultrasound Cardiac Pulmonary Gastro Bowel Bladder Fertility Sleep study Lab Work CMP includes liver & kidney Rheumatoid Panel Drug Assay Electrolyte Panel Sedimentation Rate Urinary analysis Medications (prescription and over-the-counter) Analgesic Anti-inflammatory Anti-depressant/anxiety Anti-psychotic Gastrointestinal Urological Sexual Vitamin supplement Nutritional supplement Flu vaccine Pneumonia vaccine 2016, Shelene Giles 3
4 Scar Management Compression garments Interim garments Face mask Occupational therapy evaluation Moisturizer Sunscreen Scar massage Protective clothing Alternative band-aids UV protectant clothing Thermo-regulated clothing Tinted car windows Allergen control products Humidifier Medical Supplies Dressing supplies Ointments/creams Bowel Bladder Pulmonary Feeding Wound care TED hose Splints/braces Durable Medical Equipment/Aids for Independent Living Shower chair Hand held shower with anti-scald valve Elevated toilet seat Shower/bath grab bars Bedside commode Electric bed/mattress Patient lift Standing frame Adaptive aids Clothing alterations Assistive technology Recliner lift chair 2016, Shelene Giles 4
5 Orthoses/Prosthesis Customized orthosis Customized splints Customized shoes Shoe inserts Gel/anti-vibration gloves Orthotic evaluation Prosthesis Prosthesis replacement/maintenance Prosthesis training Prosthesis accessories Prosthesis evaluation/re-evaluation Mobility Cane Walker Manual wheel chair Maintenance/repairs Accessories Power wheel chair Maintenance/repairs Accessories Motorized scooter Maintenance/repairs Accessories Wheelchair seating evaluation/re-evaluation Portable ramps Home Care/Living Arrangements Home Respite care Care Provider Family Home Health Aide Certified Nursing Assistant LPN/RN Housekeeping/lawn care/home maintenance 2016, Shelene Giles 5
6 Adult Day Care Program Assisted Living Skilled Nursing Facility Home Modifications Front entrance Back entrance Doorways Hallways Kitchen Laundry Bedroom Bathroom Climate controlled environment (AC/heat) Garage/carport Driveway Generator Live in care provider Home safety Transportation Round trip mileage (local appts) Round trip mileage (long distance appts) Vehicle modifications Vehicle modifications maintenance/repair Handicap parking permit Travel expenses Transportation service Educational/Vocational Home bound Individualized Education Plan (IEP) Tutoring Guidance counselor Work Conditioning program Functional Capacities Evaluation Gradual transition in RTW 2016, Shelene Giles 6
7 Vocational evaluation Vocational retraining Job modifications Adaptive equipments RTW restrictions Vocational Case Manager Other Nurse Case Manager Support group Special needs camp Family camp Association membership/conferences Fitness center Home exercise equipment Recreational modifications Guardian/Conservator Probable complications Neurological Musculoskeletal Cardiovascular Respiratory Urological Gastrointestinal Integumentary Cognitive Psychological Psychosocial Growth/development Aging 2016, Shelene Giles 7
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