WA DSHS 13-585A 2014-2025 free printable template

Range of Joint Motion Evaluation Chart NAME OF PATIENT CLIENT IDENTIFICATION NUMBER INSTRUCTIONS For each affected joint please indicate the existing limitation of motion by drawing a line s on the figures below showing the maximum possible range of motion or by notating the chart in degrees. Provide a complete description of all affected joints in your narrative summary. If range of motion was normal for all joints please comment in your narrative summary. If joints which do not appear on...

How to fill out range of motion assessment pdf form

How to fill out WA DSHS 13-585A

1. Begin by downloading the WA DSHS 13-585A form from the Washington State Department of Social and Health Services website.
2. Fill in your personal information at the top of the form, including your name, address, and contact details.
3. Indicate the type of service or assistance you are applying for in the relevant section.
4. Provide details about your household composition and income sources as requested in the form.
5. Review the instructions carefully for any additional information needed for specific sections.
6. Sign and date the form where indicated, confirming that the information provided is accurate.
7. Submit the completed form as directed, either by mail or electronically, based on your preference.

Who needs WA DSHS 13-585A?

1. Anyone applying for financial assistance or social services through the Washington State Department of Social and Health Services may need to complete the WA DSHS 13-585A form.

People Also Ask about normal range of motion of all joints chart

What are 5 examples of range of motion exercises?

How To Do Active Range of Motion Exercises Ankle Pops. Lie flat, and just flex and extend your ankles. Heel Slides. Lie flat, slide your heel back to raise your knee then slide the heel back down. Abduction Adduction of Hips. Lie flat and keep your leg straight, with your heel flexed. Long Arc Quads.

How do you document range of motion?

Documenting Knee Range of Motion If a person has 10 degrees of knee hyperextension and 130 degrees of knee flexion, it would be documented as 10-0-130. If a person has a 10 degree contracture and loss of full knee extension with 130 degrees of knee flexion, it would be documented as 0-10-130.

What is normal ankle ROM measurements?

The functional normal range of motion for ankle that is required for normal gait is 15° of plantarflexion (required for normal push of) and 15° of dorsiflexion (deceleration of heel strike phase of gait and squatting).

What are the 4 ranges of motion?

What is Range of Motion? Flexion - the bending of a joint. It decreases the angle between two body parts. Extension - the extending of a joint. Abduction - movement away from the midline of the body. Adduction - the movement of a limb or other part toward the midline of the body or toward another part.

What are the 4 types of range of motion?

What is Range of Motion? Flexion - the bending of a joint. It decreases the angle between two body parts. Extension - the extending of a joint. Abduction - movement away from the midline of the body. Adduction - the movement of a limb or other part toward the midline of the body or toward another part.

What are the 3 types of range of motion?

There are three basic types of range of motion: passive, active-assistive and active, defined by the whether, and to what degree, the patient can move the joint voluntarily.

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What is WA DSHS 13-585A?

WA DSHS 13-585A is a form used by the Washington State Department of Social and Health Services for reporting various information related to children's long-term care.

Who is required to file WA DSHS 13-585A?

Individuals or organizations providing long-term care services to children, including foster care providers and licensed childcare facilities, are required to file WA DSHS 13-585A.

How to fill out WA DSHS 13-585A?

To fill out WA DSHS 13-585A, start by providing the necessary identifying information. Follow the instructions in the form to report details about the child, care services provided, and any other relevant data as specified.

What is the purpose of WA DSHS 13-585A?

The purpose of WA DSHS 13-585A is to collect and maintain accurate records concerning the care and services provided to children in long-term care in Washington State.

What information must be reported on WA DSHS 13-585A?

The information that must be reported on WA DSHS 13-585A includes the child's identity, nature of care provided, dates of service, and any relevant health or behavioral information.