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Dashboard

Monday, March 16, 2026
Access Notes: Basement apartment — steep stairs. Patient cannot do stairs alone.
Time
10:00 AM - 11:00 AM
Therapist
Sarah Mitchell
Site
6281 Quinpool Rd
Zone
Halifax South
Travel Time
15 min
Billing Type
MSI
SOAP Note
Signed Mar 11
Subjective
Patient went for walk around block with neighbour on weekend — first time in months. Feeling more confident. No falls. Using grab bars in bathroom daily.
Objective
Berg Balance 46/56 (was 42). TUG 12 sec. Tandem stance 12 sec. Single leg stance R 10 sec, L 7 sec. Gait speed 1.0 m/s. Outdoor walk test: 200m on sidewalk with cane, no loss of balance.
Assessment
Continued balance improvement. All scores now in moderate-risk range, trending toward low-risk. Community ambulation initiated successfully. Grab bar installation has improved bathroom safety. Patient confidence growing.
Plan
Reduce to 1x/week. Community walking program — increase distance gradually. Add reactive balance training. Discuss group exercise class at community centre. Target discharge in 3-4 weeks if balance scores maintain.
Signed by c_sarah on Mar 11
Claims
MSI $78.00