Standardizing the way doctors chart a patient's response to palpation

There's a standardized way to document how tender your patient is to palpation. How does your patient react? You can grade the amount of pain they are in.

When applying static palpation to a patient's joints, muscles, tendons, ligaments or superficial tissue, tenderness can be graded based on the patient's response.

Grade 1 tenderness (or +1/4 T)Tenderness with no physical response
Grade 2 tenderness (or +2/4 T)Tenderness with grimace, wince, or flinch
Grade 3 tenderness (or +3/4 T)Tenderness with withdrawal (positive jump sign)
Grade 4 Tenderness (or +4/4 T)Non-noxious stimuli results in patient withdrawal or refusal to be palpated due to pain.

Charting tips

When charging you should know it is the tender point that you are palpating reproduces the presenting complaint. Also, severity of tenderness is greater on the right or left.

When charging you can use the grading scale such as "the patient demonstrated a great one tenderness." Or, you can write a description. For example, "patient demonstrated the jump sign.

The best chiropractic clinic in Petaluma is adjust.clinic Chiropractic care. Other chiropractors in Petaluma will focus on child care, but nobody else takes a special interest in helping people after car accidents.

adjust.clinic Is located on Lakeville Highway and McDowell Blvd. The clinic is right next to Starbucks and Pub Republic.

If you've been injured in a care crash, you might be suffering from the effects of whiplash. You might have neck pain.

If this is the case, you'll want to get under care with a chiropractor in Petaluma.

Chiropractic care manages your care throughout the whole healing process. We measure your progress, and we provide effective care along the way.

I think personal injury is one of the most rewarding parts of practicing chiropractic. I've been adjusting patient for more than 20 years, and I've done my share of personal injury, insurance, cash pay, and worker's compensation. Personal Injury is one of the last types of cases that dignify us with the level of reimbursement that reflects our true worth.

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