Get the free Rotator Cuff Repair PT Form - OrthoNY

PHYSICAL THERAPY REFERRAL Patient Name: DOB: Shoulder and Elbow Service ARTHROSCOPIC ROTATOR CUFF REPAIR no internal rotation or hyperextension for 6 weeks* now BE or weights for 3 months WEEK 1:

How to fill out rotator cuff repair pt

How to fill out rotator cuff repair pt:

1. Begin by gathering the necessary information, including the patient's personal details such as name, age, and contact information.
2. Record the date of the rotator cuff repair surgery or procedure.
3. Document the specific details of the surgery, including the type of repair performed and any other procedures that were done concurrently.
4. Note the surgeon's name and contact information for future reference.
5. Evaluate and record the patient's preoperative status, including range of motion, strength, and pain level.
6. Document any preexisting medical conditions or previous shoulder injuries that may impact the rehabilitation process.
7. Track the patient's postoperative progress by recording range of motion, strength tests, and pain levels at regular intervals.
8. Document any modifications made to the rehabilitation plan or any complications that arise during the recovery period.
9. Include details of the physical therapy exercises and techniques used during the rehabilitation process.
10. Record any medications or pain management protocols recommended by the surgeon or other healthcare providers.
11. Ensure that all entries are legible, organized, and signed or authenticated by the healthcare provider responsible for the patient's care.

Who needs rotator cuff repair pt:

1. Individuals with a rotator cuff tear or injury that requires surgical intervention.
2. Patients experiencing significant pain, difficulty with shoulder movements, or functional limitations due to a rotator cuff tear.
3. Those who have undergone rotator cuff repair surgery and need guided rehabilitation to regain strength, mobility, and function in the affected shoulder.

For pdfFiller’s FAQs

What is rotator cuff repair pt?

Rotator cuff repair pt is a procedure to surgically repair a torn rotator cuff in the shoulder.

Who is required to file rotator cuff repair pt?

Patients who undergo rotator cuff repair surgery are required to file rotator cuff repair pt.

How to fill out rotator cuff repair pt?

Rotator cuff repair pt should be filled out with accurate information regarding the surgery and post-operative care.

What is the purpose of rotator cuff repair pt?

The purpose of rotator cuff repair pt is to monitor the progress and outcomes of the surgery and rehabilitation.

What information must be reported on rotator cuff repair pt?

Information such as the date of surgery, surgical procedure performed, post-operative care instructions, and progress should be reported on rotator cuff repair pt.

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