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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 Feb 25
Subjective
Patient reports feeling steadier on feet. No falls this past week. Still anxious about going outside in winter. Daughter visited and noticed improvement.
Objective
Berg Balance 42/56 (was 36). TUG 14 sec (was 19 sec). Tandem stance 8 sec. Single leg stance R 6 sec, L 4 sec. Gait speed 0.9 m/s on 10m walk.
Assessment
Meaningful improvement in balance scores over 3 weeks. TUG now below high-risk threshold. Community ambulation still limited by confidence. Winter conditions exacerbate anxiety.
Plan
Continue 2x/week. Progress to dynamic balance exercises. Add outdoor walking program with therapist escort when weather permits. Discuss grab bar installation for bathroom. Continue HEP with standing balance series.
Signed by c_sarah on Feb 25
Claims
MSI $78.00