Sample Type / Medical Specialty: Discharge Summary
Sample Name: Occupational Therapy Discharge Summary
Occupational therapy discharge summary. Traumatic brain injury, cervical musculoskeletal strain.
(Medical Transcription Sample Report)
Traumatic brain injury, cervical musculoskeletal strain.DISCHARGE SUMMARY:
The patient was seen for evaluation on 12/11/06 followed by 2 treatment sessions. Treatment consisted of neuromuscular reeducation including therapeutic exercise to improve range of motion, strength, and coordination; functional mobility training; self-care training; cognitive retraining; caregiver instruction; and home exercise program. Goals were not achieved, as the patient was admitted to inpatient rehabilitation center.RECOMMENDATIONS:
Discharged from OT this date, as the patient has been admitted to Inpatient Rehabilitation Center.
Thank you for this referral.
discharge summary, musculoskeletal strain, occupational therapy, traumatic, brain, cervical, musculoskeletal, rehabilitation,
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