Personal Care Plan For Chronic Pain
Personal Care Plan for [text default="patient name"] 1. Set Personal Goals [select value="Future Goal|Current Goal|Completed Goal"] <-- Improve Functional Ability Score [link url="../../musculoskeletal/faq5-score/" memo="calculator"] by [text size="3"] points by: [date] [select value="Future Goal|Current Goal|Completed Goal"] <-- Return to specific activities, tasks, hobbies, sports... by: [date] a. [text size=50] b. [text size=50] c. [text size=50] [select value="Future Goal|Current Goal|Completed Goal"] <-- Return to limited work/or normal work by: [date] 2. Improve Sleep (Goal: [select value="1|2|3|4|5|6|7|8|9|10"] hours/night, Current: [select value="1|2|3|4|5|6|7|8|9|10"] hours/night) [select value="Future Goal|Current Goal|Completed Goal"] <-- Follow basic sleep plan a. Eliminate caffeine and naps, relaxation before bed, go to bed at target bedtime [text] [select value="Future Goal|Current Goal|Completed Goal"] <-- Take nighttime medications a. [text size=50] b. [text size=50] c. [text size=50] 3. Increase Physical Activity [select value="Future Goal|Current Goal|Completed Goal"] <-- Attend physical therapy ([select value="1|2|3|4|5|6|7"] days/week) [select value="Future Goal|Current Goal|Completed Goal"] <-- Complete daily stretching ([text size="3"] times/day, for [text size="3"] minutes) [select value="Future Goal|Current Goal|Completed Goal"] <-- Complete aerobic exercise/endurance exercise CHOOSE: [select name="aerobic" value="Walking|Other Exercise"][conditional field="aerobic" condition="(aerobic).is('Walking')"] a. Walking ([text size=3] times/day, for [text size="3"] minutes) or pedometer ([text size="7"] steps/day)[/conditional][conditional field="aerobic" condition="(aerobic).is('Other Exercise')"] a. Treadmill, bike, rower, elliptical trainer ([text size="3"] times/week, for [text size="3"] minutes)[/conditional] b. Target heart rate goal with exercise [text size="3"] bpm [link url="../../cardiovascular/target-heart-rate/ target heart rate calculator"] [select value="Future Goal|Current Goal|Completed Goal"] <-- Strengthening a. Elastic, hand weights, weight machines ([text size=3] minutes/day, [text size="3"] days/week) 4. Manage Stress – list main stressors [text] [select value="Future Goal|Current Goal|Completed Goal"] <-- Formal interventions (counseling or classes, support group or therapy group) a. [text size=50] [select value="Future Goal|Current Goal|Completed Goal"] <-- Daily practice of relaxation techniques, meditation, yoga, creative activity, service activity, etc. a. [text size=50] b. [text size=50] Medications a. [text size=50] b. [text size=50] [select value="Future Goal|Current Goal|Completed Goal"] <-- 5. Decrease Pain (best pain level in past week: [select value="1|2|3|4|5|6|7|8|9|10"] / 10, worst pain level in past week: [select value="1|2|3|4|5|6|7|8|9|10"] / 10) Non-medication treatments a. Ice/heat [text] b. [text size=50] Medication a. [text size=50] b. [text size=50] c. [text size=50] d. [text size=50] Other treatments [text size=50] Physician name: [text] Date: [date]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0.5, 2 form elements, 401 boilerplate words, 1 text boxes, 1 drop downs, 2 total clicks
More SOAPnotes by this Author:
Send Feedback for this SOAPnote
You must be logged in to post a comment.