Table 1.

Pass It on Content Categories, Explanations, and Case Example Information

Category		Explanation	Case example information
P	Patient	Patient demographics. Who is the patient as a person (i.e., interests, motivators)? Where does the person live? Diagnosis and details of injury?	Interests and motivators: Neurologist, devoted fiancée, caring family member, outdoor adventurer/world traveler, cardio exerciser. Home location: Currently living in California with brother but will eventually move to Missouri to live independently. Injury details: Began having blurry vision and confusion while at work. Head CT showed left subarachnoid hemorrhage and left middle cerebral artery bifurcation aneurysm.
A	Assessment	Primary concerns (i.e., problem list) for each discipline.	PT: Impaired strength, balance, endurance, and functional mobility. OT: Impaired strength, coordination, and functional use of right upper extremity. SLP: Difficulty with word finding, verbal expression, and reading/auditory comprehension.
S	Situation	Support system, caregivers, case manager, home environment, community resources/access, medical concerns/comorbidities.	Support system: Several family members including her mother, father, fiancé, brother, and sister. Caregivers: Father and caregiver will be present during therapy sessions. Home environment: Home in Missouri is not currently accessible—on the second floor without elevat or access. Medical comorbidity: History of other complex medical issues.
S	Safety concerns	Physical, cognitive, emotional.	Physical: Deconditioned and high risk for falls. Cognitive: Inability to express self-care needs fully and over-estimates abilities. Emotional: Mild, situational depression.
IT	IT setup/concerns	Connectivity, location, device(s) available/needed, understanding.	Connectivity: Will use a laptop and smartphone for virtual therapy sessions. No concerns with internet or cellular connectivity in the home or community.
O	Ownership	Clinical lead? Main contact for patient?	Clinical ownership: Physical therapist. Family ownership: Father and brother.
N	Next	Clarify treatment goals and plan of care. What will happen next? Frequency/duration of sessions? Anticipated treatment duration?	PT: 3x/week × 30 minutes per session. Goals: Recumbent bike for 15+ minutes, independent completion of home exercise program, ambulation outdoors on level surfaces at a distance and speed to allow for safe community access. OT: 3x/week × 30 minutes per session. Goals: Tolerate upper extremity weight bearing × 8 minutes, caregiver(s) demonstrate successful completion of a home exercise program, tolerate electrical stimulation for neuro re-education × 20 minutes daily. SLP: 3x/week × 60 minutes per session. Goals: Develop and carry-out a structured daily schedule, utilize a memory compensation tool, implement strategies for word-finding and social conversations, consistent recall of details from reading/auditory comprehension tasks. All disciplines will re-assess in 4-6 weeks to determine ongoing needs and adjust treatment plan as needed.