Até mais.
Andrey.
|
Estágio Supervisionado – Curso de
Fisioterapia
Docente Responsável: Prof. Andrey Golias
1. Dados Pessoais
Nome:_______________________________
Idade:________ Sexo: F( ) M( )
Raça:_________________Profissão:_________________________________
Avaliação
Médica:____________________ Data da Avaliação:____/____/____
2. Exame Subjetivo
2.1. QP:________________________________________________________
______________________________________________________________
2.2. HMA:_______________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
2.3. HMP:_______________________________________________________
______________________________________________________________
2.4. Tratamento
Medicamentoso:_____________________________________
______________________________________________________________
3. Exame Objetivo
3.1. Inspeção geral:_______________________________________________
______________________________________________________________
3.2. Avaliação
postural:____________________________________________
____________________________________________________________________________________________________________________________
3.3. Palpação:___________________________________________________
____________________________________________________________________________________________________________________________
3.4.
Mobilidade (ADM):_____________________________________________
______________________________________________________________
____________________________________________________________________________________________________________________________
3.5. Extensibilidade/
flexibilidade:_____________________________________
____________________________________________________________________________________________________________________________
3.6. Força
Muscular:______________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
3.7. Perimetria:__________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
3.8. Exame
Neurológico:___________________________________________
______________________________________________________________
3.9. Avaliação
Funcional:___________________________________________
____________________________________________________________________________________________________________________________
3.10. Avaliação da
marcha:_________________________________________
____________________________________________________________________________________________________________________________
3.11. Testes
Específicos:__________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
3.12. Laudos
Clínicos e Exames:_____________________________________
______________________________________________________________
____________________________________________________________________________________________________________________________
4. Diagnósticos
4.1. Diagnóstico
Clínico (transcrito do encaminhamento médico):____________
______________________________________________________________
4.2. Diagnóstico
Fisioterapêutico:____________________________________
____________________________________________________________________________________________________________________________
5. Planejamento
5.1. Objetivos:___________________________________________________
______________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5.2 Condutas:___________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5.3.
Freqüência:__________________________________________________
______________________________________________________________
______________________________________________________________
5.4. Prognóstico:_________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
Acadêmico:_______________________________________________
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