Subsequent Note

Engagement - We met with Mrs. Eleanor Vance. - 3 sessions completed. - Clinic Room 2. - Independence sessions completed between reviews, type of exercise completed: Mrs. Vance has been diligently following the home exercise program, focusing on core strengthening exercises. Function: - Symptoms experiencing, note any changes from previous sessions: Mrs. Vance reports a reduction in lower back pain from 7/10 to 4/10. She also reports improved mobility. - Changes to exercise program: The exercise program has been modified to include more dynamic movements to improve her range of motion. - Level of function with home activities and hobbies: Mrs. Vance is now able to walk for longer periods and is enjoying her gardening hobby again. Work Status: - Current work status: Mrs. Vance is retired. - Recommendations for potential upgrades in capacity: No recommendations at this time. - Demonstrated capacities: Mrs. Vance has demonstrated improved core strength and flexibility. Barriers: - Concerns/issues impacting potential progression with treatment plan: Mrs. Vance is concerned about a potential flare-up of her back pain if she overexerts herself. Strategies / Education: - Education provided during session to assist with their exercise program: Provided education on proper posture and body mechanics during gardening. - Pain/mental health education provided: Discussed strategies for managing pain and stress. - Positive reinforcement of achievements to date: Praised Mrs. Vance for her consistent effort and progress. Plan: - Our next review is scheduled for 10:00 AM on 15 November 2024. - Frequency of reviews (e.g., fortnightly, weekly) to support goals: Weekly reviews to monitor progress. - I will provide an update following our next review, and be in touch earlier if anything deviates from the above. Please reach out if you have any questions in the meantime.