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OT Documentation p.19, 20
Rebecka, Casey
202
Other
Graduate
06/05/2012
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Term
para
 Definition
paraplegic
Term
pc
 Definition
after meals
Term
PEDI
 Definition
Pediatric Evaluation of Disability Index
Term
per
 Definition
by or through
Term
PLOF
 Definition
past level of function
Term
PLOP
 Definition
present level of performance
Term
p.m. OR PM
 Definition
between noon and midnight
Term
PMR OR PM&R
 Definition
physical medicine and rehabilitation
Term
PNF
 Definition
proprioceptive neuromuscular facilitation
Term
po
 Definition
per mouth, orally
Term
P/O
 Definition
after surgery
Term
POC
 Definition
plan of care
Term
POD
 Definition
post op day number
Term
POMR
 Definition
problem oriented medical record
Term
pos
 Definition
positive
Term
poss
 Definition
possible
Term
post
 Definition
posterior
Term
post-op
 Definition
after surgery
Term
PPE
 Definition
personal protective equipment
Term
PRE
 Definition
progressive resistive exercise
Term
pre-op
 Definition
before surgery
Term
pro OR pron
 Definition
pronation
Term
PRN OR prn
 Definition
per as needed
Term
Pt OR pt.
 Definition
patient; pint; point
Term
PTA
 Definition
prior to admission
Term
PTB
 Definition
patellar tendon bearing [prosthesis]
Term
PVE
 Definition
prevocational evaluation
Term
PWB
 Definition
partial weight bearing
Term
q
 Definition
every
Term
qt.
 Definition
quart
Term
quad
 Definition
quadriceps
Term
®
 Definition
right
Term
RA
 Definition
reasonable accomodation
Term
Re: OR re:
 Definition
regarding
Term
rehab
 Definition
rehabilitation
Term
REM
 Definition
rapid eye movement
Term
reps
 Definition
repetitions
Term
RET
 Definition
rational emotion therapy
Term
resp
 Definition
respiratory , respiration
Term
rlq
 Definition
right lower quadrant
Term
RM
 Definition
repetition maximum
Term
RPE
 Definition
rating of perceived exertion
Term
RTC
 Definition
return to clinic
Term
RTI
 Definition
routine task inventory
Term
RTO
 Definition
return to office
Term
ruq
 Definition
right upper quadrant
Term
RW
 Definition
rolling walker
Term
S
 Definition
subjective
Term
SBA
 Definition
stand by assist
Term
SE
 Definition
side effects
Term
sec
 Definition
seconds
Term
SH
 Definition
social history
Term
SI
 Definition
sensory integration
Term
sig
 Definition
directions for use, gives as follows
Term
SLB
 Definition
short leg brace
Term
SLR
 Definition
straight leg raise
Term
SNF
 Definition
skilled nursing facility
Term
SOAP
 Definition
subjective, objective, assessment, plan; progress note format
Term
SOB
 Definition
shortness of breath
Term
SOC
 Definition
start of care
Term
SOP
 Definition
standard operating procedure
Term
SPEM
 Definition
smooth pursuit eye movement
Term
stat
 Definition
immediately
Term
STG
 Definition
short term goal
Term
STM
 Definition
short term memory
Term
STNR
 Definition
symmetrical tonic neck reflex
Term
sup
 Definition
supination
Term
SWD
 Definition
short wave diathermy
Term
T
 Definition
trace as in muscle strength; temperature
Term
Tbsp. OR tbsp.
 Definition
tablespoon
Term
TCU
 Definition
transitional care unit
Term
TDD
 Definition
telecommunications device for the deaf
Term
TDWB
 Definition
touch down weight bearing
Term
TEDS
 Definition
thrombo-embolic disease stockings
Term
TENS, TNS
 Definition
transcutaneous electrical nerve stimulations
Term
ther ex
 Definition
therapeutic exercise
Term
TLSO
 Definition
thoracic lumbar spine orthosis
Term
TO OR t.o.
 Definition
telephone order
Term
TOS
 Definition
thoracic outlet syndrome
Term
TPN
 Definition
total pareteral nutrition
Term
trng.
 Definition
training
Term
tsp.
 Definition
teaspoon
Term
TTWB
 Definition
toe touch weight bearing
Term
TWB
 Definition
total weight bearing
Term
un
 Definition
unable
Term
US
 Definition
ultrasound
Term
UV
 Definition
ultraviolet
Term
VC
 Definition
vital capacity
Term
v.o.
 Definition
verbal order
Term
vol.
 Definition
volume
Term
VS OR v.s.
 Definition
vital signs; vestibular stimulation
Term
W
 Definition
walker
Term
WB
 Definition
weight bearing
Term
WBAT
 Definition
weight bearing as tolerated
Term
WBQC
 Definition
wide based quad cane
Term
W/C OR w/c
 Definition
wheelchair
Term
WFL
 Definition
within functional limits
Term
Wk
 Definition
week
Term
WN
 Definition
well nourished
Term
WNL
 Definition
within normal limits
Term
w/o
 Definition
without
Term
h or hr.
 Definition
hour
Term
H&P
 Definition
history and physical
Term
Hemi
 Definition
hemiplegia
Term
HEP
 Definition
home exercise program
Term
HH
 Definition
home health; hand held
Term
HHA
 Definition
hand hold assist
Term
HKAFO
 Definition
hip knee ankle foot orthosis
Term
HME
 Definition
home medical equipment
Term
HOB
 Definition
head of bed
Term
HOH/hoh
 Definition
hand over hand; hard of hearing
Term
HP
 Definition
hot pack
Term
HR
 Definition
heart rate
Term
hs
 Definition
at night, hours of sleep
Term
ht
 Definition
height
Term
[image]
 Definition
independently
Term
ICU
 Definition
intensive care unit
Term
I & O
 Definition
intake and output
Term
IADL
 Definition
instrumental activities of daily living
Term
ICD-9
 Definition
international classification of of diseases, ninth edition
Term
i.e.
 Definition
that is; in other words
Term
ILC
 Definition
independent living center
Term
IM
 Definition
intramuscular
Term
imp
 Definition
impression
Term
in.
 Definition
inches
Term
inhal
 Definition
inhalation
Term
Inj
 Definition
injection
Term
IP
 Definition
inpatient
Term
ITB
 Definition
intrathecal bacolofin
Term
IV
 Definition
intravenous
Term
KAFO
 Definition
knee ankle foot othosis
Term
kg
 Definition
kilogram
Term
KJ
 Definition
knee jerk
Term
[image]
 Definition
left
Term
L or l
 Definition
liter
Term
l/m
 Definition
liters per minute
Term
LAD
 Definition
language acquisition device
Term
lb.
 Definition
pound
Term
LBQC large-based quad cane
 Definition
Term
LLB
 Definition
long leg brace
Term
llq
 Definition
left lower quandrant
Term
LOS
 Definition
length of stay
Term
LP
 Definition
lumbar puncture
Term
LTC
 Definition
long-term care
Term
LTG
 Definition
long term goal
Term
LUQ
 Definition
left upper quadrant
Term
L & W
 Definition
living and well
Term
m
 Definition
male
Term
MAO
 Definition
monoamine oxidase
Term
max
 Definition
maximum or maximal
Term
MED
 Definition
minimal effective dose; minimal erythemal dose
Term
meds
 Definition
medications, medicine
Term
MET
 Definition
metabolic level; maximal
Term
MFR
 Definition
myofacial release
Term
MFT
 Definition
 or mft muscle function test
Term
mg
 Definition
miligram
Term
MH 
 Definition
moist heat
Term
MHP
 Definition
moist hot pack
Term
min
 Definition
minutes; minimum
Term
ml
 Definition
mililiters
Term
mm
 Definition
milimeter
Term
mm-Hg
 Definition
millimeters of mercury
Term
MMSE
 Definition
mini-mental status exam
Term
MMT 
 Definition
manuel muscle test
Term
mo
 Definition
month
Term
mob
 Definition
mobility; mobilization
Term
mod
 Definition
moderate
Term
MRI
 Definition
magnetic resonance imaging
Term
MSQ
 Definition
mental status questionnaire
Term
MVC
 Definition
maximal voluntary contraction
Term
N
 Definition
normal, as in muscle grade
Term
na or N/A
 Definition
not applicable; not available
Term
NaC
 Definition
normal saline
Term
NBQC
 Definition
narrow based quad cane
Term
NDT
 Definition
neurodevelopmental treatment
Term
neb
 Definition
nebulizer
Term
neg.
 Definition
negative
Term
NICU
 Definition
neonatal intensive care unit
Term
NKA
 Definition
no known allergy
Term
NKDA
 Definition
no known drug allergy
Term
NMES
 Definition
neuromuscular electrical stimulation
Term
noc
 Definition
nocturnal, at night
Term
NPO
 Definition
nothing by mouth
Term
nt
 Definition
not tested
Term
NWB
 Definition
non-weight bearing
Term
O
 Definition
objective
Term
O2
 Definition
oxygen
Term
OBS
 Definition
observation
Term
od
 Definition
once daily; right eye
Term
OH
 Definition
occupational history
Term
OOB
 Definition
out of bed
Term
OP
 Definition
out patient
Term
OR
 Definition
operating room
Term
os
 Definition
left eye
Term
OTC
 Definition
over the counter
Term
ou
 Definition
both eyes
Term
Ox3
 Definition
oriented times three ( person, place time )
Term
Ox4
 Definition
orientation times four ( person, place, time and situation)
Term
oz
 Definition
ounce
Term
P
 Definition
plan;poor;pulse
Term
PADL
 Definition
personal activities of daily living
Term
PAMS
 Definition
physical agent of modalities
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