preview

Therapeutic Treatment Plan Sample

Decent Essays
On 11/4/16 I attended the Lighthouse team conference via phone. The following is the current status from each discipline.

NURSING

Ms. Key had no illnesses or difficulties since the last team meeting. She has had routine appointments with medical providers. Medications have been changed to try and help spasms.

PHYSICAL THERAPY

Ms. Key is now walking with a cane. Therapy is working on left leg and foot positioning to walk better. Therapist is removing the AFO to build muscle. They will be doing a serial casting to improve the left leg and foot.

OCCUPATIONAL THERAPY

Ms. Key continues to need mod to max cueing with personal care and dressing. No initiation or follow through with self care. She continues to need mod to max assistance
…show more content…
The State of Michigan continues to be her guardian.

GROUP HOME

Ms. Key has had over 35 community outings since the last team meeting. She enjoys going to community events and church. At this time she will continue to reside in the current home she is in. At some point she will be moved to an adult home.

ASSESSMENT

Ms. Key behavioral issues continue to be addressed with a therapeutic treatment plan. GOALS

1. Ms. Key will continue to attend the Lighthouse School on a reduced schedule with a one-on-one aide.
2. Attend the team meeting with Lighthouse staff on 1/20/16.
3. Attend Dr. Kahn appointment on 2/9/17 for an updated treatment plan.
4. Lighthouse staff will continue to report decline in progress to me.
5. Attend appointments pertaining to medical care as they are made.

BARRIERS

1. Ms. Key will move from juvenile to adult guardianship now that she 18.
2. No prior baseline available at this time.
3. Dysfunctional family dynamics.
4. Will never be able to live independently and will need therapy for most of her life.

PLAN/RECOMMENDATIONS

1. Attend the team meeting on
Get Access