Religious of the Virgin Mary

St. Joseph Home Rehabilitation Center

Endorsement Notes
September 2016

Respectfully endorsing Sr. Ma. Anastasia Padayao, 78 y/o, (+)HTN, (-)DM, a

female patient from Mother house who was diagnosed c Psoriasis, thyroid dse, chronic
LBP 20 to compression of L2 (L), HTN stage II.

Present problem list:

1. Chronic intermittent localized dull aching pain on (B) knees (L>R), (PS on knee
8/10), (PS on (L) knee 10/10) elicited by weight bearing and is relieved by rest.
2. Decreased muscle strength of (L) hip flexors and (L) knee extensors graded 4/5
3. Grade 1 pitting edema
4. Crepitation of (B) knees upon knee extension

Present PTMx:

1. HMP c TENS on (B) knees x 20

2. US on (B) knees x 1.5 w/cm2 x 5
3. Wall slide c VMO setting using white ball x 5SH x 10 reps x 1 set
4. LE ergo bike x 5
5. Quadriceps setting x 7SH x 10 reps x 1 set
6. Isomets on (B) glutes x 7SH x 10 reps x 1 set

Px was seen and treated 2x this month of September 2016.

Check pxs skin before, during and after application of HMP. Assist px in sit to stand.

Type of patient: Out-patient

Baseline BP: 120/70 mmHg

Schedule: TTH, 1:30 PM

DOB: December 25, 1937

Room: Mother House

Precaution: Falls, fx, dislocation, unstable BP

US #11 on both knees

Maryse Hannah Mitchell, PTRP Sweetsel Obrero

PT staff in-charge UERM PT Intern 17
 Religious of the Virgin Mary
St. Joseph Home Rehabilitation Center
Endorsement Notes
September 2016

Respectfully endorsing Sr. Ma. Aida Zablan, 86 y/o, (-)HTN, (-)DM, female
patient from Mother Ma. Andrea Montejo Ward who was diagnosed c LBP, DOA (B)
knees and leukemia.
Present problem list:
1. Chronic dull aching pain on (B) knees (PS 7/10) and on (B) paralumbar (PS 8/10)
elicited during sit to stand and standing activities an is relieved by rest.
2. Good standing balance and fair standing tolerance
3. Moderate difficulty in ambulation and sit to stand requiring +1 assist (contact
guarding)
4. Muscle weakness of (B) UE graded 4/5
5. Postural deviation (kyphotic posture, genu varum)
Present PTMx:
1. PREs on (B) UE and LE using 2lbs DB and MAW x 10 reps x 1 set
2. HMP on (B) paralumbars and knees x 20
3. UE ergo x 10
4. Standing bal/tol (TTH)
5. Gait ambulation (as tolerated) (MWF)
6. DDBE
7. Grip strengthening using SB on (B) hands x 7SH x 10 reps x 1 set
8. Postural awareness
9. Trunk isomets towards flexion and extension x 7SH x 10 reps x 1 set
Px was seen and treated 6x this month of September 2016.
Always remember the knee pads during ambulation and weight bearing activities.
Type of patient: In-patient
Baseline: 100/70 mmHg
Schedule: Daily, 7:30 am
DOB: April 20, 1930
Room: Mother Ma. Andrea Montejo Ward
Precautions: Falls, burns, fx, dislocation, unstable BP
Jennifer Martha Laureola, PTRP Sweetsel Obrero
PT staff in-charge UERM PT Intern 17

Religious of the Virgin Mary

St. Joseph Home Rehabilitation Center
Endorsement Notes
September 2016

Respectfully endorsing Sr. Aquilina Cosare, a 91 y/o, (+)HTN, (-)DM, female

patient from Ma Chaves Antonio ward who was diagnosed c cardiomegaly, S curve
scoliosis L5-S1, vascular dementia and lumbar compression fx.
Present problem list:
1. Generalized muscle weakness on (B) shoulder flexors 3-/5, elbow flexors, wrist
flexors and knee extensors graded 3+/5
2. Poor standing tolerance and fair standing balance
3. Decreased grip strength on hand in comparison to the (L) hand
Present PTMx:
Daily:
1. PREs on (B) UE and LE using 1lb DB and LE MAW towards AP x 10 reps x 1 set
2. Grip strengthening using SB on (B) hands x 7SH x 10 reps x 1 set
3. DDBE
4. Postural awareness
MWF:
1. HMP on (B) paracervical area x 20
TTH:
1. UE ergo x 10
2. // bar exercise:
a. Sit to stand x 10 reps x 1 set
b. Marching in place x 10 reps ->> Ambulation 1-2 rounds (progression)
Px was seen and treated 15x this month of September 2016.
Px is easily distracted and is uncooperative. Px also insists on walking during //
bar exercise.
Type of patient: in-patient
Baseline BP: 110/70 mmHg
Schedule: Daily, 7:30 am
DOB: October 19, 1924
Room: Ma Chaves Antonio ward
Precaution: Falls, brun, fx, dislocation

Nathan Barcelona, PTRP Sweetsel Obrero

PT staff in-charge UERM PT Intern 17

Religious of the Virgin Mary

St. Joseph Home Rehabilitation Center
Endorsement Notes
September 2016

Respectfully endorsing Sr. Ma. Victoria Salceda, RVM, a 90 y/o, (+)Pacemaker,

(+)HTN stage II(controlled), (+)DM, female patient who was diagnosed to have stage II
HTN, muscle spasm on (L) ant leg (tibialis ant), MPS on upper trapezius muscle.
Present problem list:
1. Intermittent localized dull aching pain on suprascapular area (PS 3/10)
2. LOM towards shoulder flecion and (B) ankle DF
3. Postural deviation (forward head and rounded shoulder)
4. Gait deviation (stride length, step length, cadence)
5. Grade 1 pitting edema on (L) foot
6. sensation on (L) leg
Present PTMx:
1. HMP on (B) upper traps, (L) ant leg x 20
2. GPS on (B) upper traps, (L) TAs and gastrocs x 30SH x 3 reps x 1 set
3. MFR on (B) trapezius muscle
4. PREs on (B) LE towards AP using green AW x 10 reps x 1 set
5. // bar exercise:
a. Ball kicking x 10 reps x 1 set on each foot
6. Walking over cones x 2 rounds
7. Ankle pumps x 30 reps x 1 set
8. UE ergo x 10
Px was seen and treated 6x for this month of September 2016.
Monitor pxs BP during exercise. Let px rest before proceeding to the next exercise .
remind px to perform DDBE after every exercise
Type of patient: Out-patient
Baseline BP: 130/80mmHg
Schedule: MWF, 2:00 PM
DOB: October 12, 1925
Room: Mother house
Precautions: Unstable VS, chest pain, fallm burn

Cory Ruth Castro Sweetsel Obrero

PT staff in-charge UERM PT Intern 17