Wording of Plan of Care for Home Health

[Guest guest]

I had discussion today on being able to use the wording of " may use " for

developing the Plan of Care for home health and for that matter outpatient.

An example would be " modalities as needed, may use ultrasound for pain and

swelling until no longer clinically needed " ; or " may use walker, quad cane,

or single point cane for gait training " ; Or " may use silvadene " for wound.

In discussing this with a Medicare rep doing a survey, she felt this was the

way a PT could word the plan of care such that the therapist would not need

to send a new Plan each time the patient progresses.

Anyone use this type of wording to allow for greatest autonomy with

developing Plan of Care.

Steve Marcum PT

Kentucky