Consolidador / Desconsolidador

Click on the Patient Assessment button.

You may then type the number of the comment you are using, or use the scroll bar to access the comments. You may view the comments in the top data box.

To choose a particular comment, press the USE button. This will place the comment in the bottom data box.

You may then continue to choose additional comments in that same screen or choose an additional comment TYPE by repeating steps 2-4 above.

Additionally, you may click right into bottom text box and type whatever you wish. Whatever the bottom box has in it is what will appear in your report for that category.

All of these patient comments may be edited by choosing Modify from the Main Menu, then choosing the Patient Assessment Comments selection from the right hand list. (See pg. 75)

findings on this particular screen. The findings that show up in this Main Objective screen are taken directly from the Clinic File and may be modified by accessing Modify from the Main Screen and choosing Clinic Set up Edit. Follow directions on pg. 3 to set up your Clinic information properly. To report simple objective findings as Cervical, Thoracic or Lumbar, Sacrum and Pelvis it is much quicker to only use the main Objective screen. The program does have the capability of reporting very specific findings....To access more objective findings, press the appropriate button located at the right of the screen.

Findings

There are some pre-loaded findings in this section; however, this list is editable by adding or editing the objective findings in the MODIFY OBJECTIVE FINDINGS screen.

1. Edema 2. Tenderness 3. Muscle Spasm

4. Trigger Point Sensitivity 5. Motion Palpation

Clicking on one of the above choices will bring up an AREA box. Choose the correct area or click on muscles to see a list of muscles. You may press the use button now to report by region only.

Otherwise, click on the specific segments or muscles which are positive. You may view your data as you input it at the top of the screen.

If you make a mistake, re-clicking the segment or muscle will un-highlight it and erase it from the sentence at the top of the screen.

AFTER EACH AREA, you must press use. Once the data is in the bottom box, it will be reported.

You may report as many choices and as many areas as you wish under findings. Once you are finished entering data, press the FINISHED button. This will return you to the main objective finding screen. Ortho

Choose the appropriate area you wish to report in the TESTING FOR box. This will cause a drop down list of tests for that area to appear at the right of the screen.

Click on the correct test.

If the test was positive for pain, click the WITH PAIN button.

You may also report radiating pain by clicking next to the appropriate area in the RADIATING PAIN BOX. After each entry, press the USE button to place the text in the bottom box.

To keep reporting the same area, press the SAME AREA button, and proceed as above.

To switch to a different area, press the desired area in the TESTING FOR box, and proceed as above. Press FINISHED when you have entered all orthopedic findings. This will return you to the main objective findings screen.

Palpation

There are five choices under type: 1. Edema

2. Tenderness 3. Muscle Spasm

4. Trigger Point Sensitivity 5. Motion Palpation

Clicking on one of the above choices will bring up an AREA box. Choose the correct area or click on muscles to see a list of muscles. You may press the use button now to report by region only.

Otherwise, click on the specific segments or muscles which are positive. You may view your data as you input it at the top of the screen.

If you make a mistake, re-clicking the segment or muscle will un-highlight it and erase it from the sentence at the top of the screen.

AFTER EACH AREA, you must press use. Once the data is in the bottom box, it will be reported.

You may report as many choices and as many areas as you wish under findings. Once you are finished entering data, press the FINISHED button. This will return you to the main objective finding screen. Neuro

Neuro has two different sections, DEEP TENDON REFLEXES and PATHOLOGICAL REFLEXES. DEEP TENDON REFLEXES:

Mark the box next to DEEP TENDON REFLEXES.

Choose the appropriate area you are reporting under the AREA box.

Choose the appropriate number for the left and right from the grading system located on the exam form. Press the USE button. This will place the text in the box at the bottom of the screen.

Continue entering DEEP TENDON REFLEX results by choosing another AREA or switch to PATHOLOGICAL REFLEXES...

PATHOLOGICAL REFLEXES:

Mark the box next to PATHOLOGICAL REFLEXES. Choose the correct response under the TYPE box.

Press USE. This will place the text in the box at the bottom of the screen. Continue entering PATHOLOGICAL REFLEXES by choosing another TYPE.

When you are finished entering all neurological information, press the FINISHED button. ROM

Choose the area you wish to report under "ROM for". This will cause a drop down list to appear with different range of motion tests for that area.

Choose the correct ROM test from the drop down box.

Choose the degree finding from the exam form by clicking one of the numbers in the "Degrees" box. If the Patient was positive for pain with this test, click the "With Pain" button. You will notice your sentence being put together at the top of the screen.

NOTE: The normals for these ROM tests may be changed in the edit/print tables (See Modifying Tables, pg. 38)

Activator

This section is for doctors using the ACTIVATOR METHOD, as a technique, as opposed to using an activator to adjust occasionally. Pick the positives, noting the lateral designations. Once you are finished inputting, press the FINISHED button. If you would like to report these findings as your treatment also, press the "USE AS TREATMENT" button. The data will then show up in the Treatment Box when you click on the Treatment Tab. Press finished , and the program will return to the main Objective Findings entry screen.

Entering Additional Comments/Data during a Visit:

At any time during the visit entry you may add additional comments or data by simply clicking into the white "text" box appearing on the screen and typing in anything you wish to report. The additional data will appear on the report under the heading of the screen you put it in. For example, if you click into the text box in Assessment, whatever you type will show up under the "Assessment" heading on the report.