Documenting the Plan

Question 1

What is the POC?

Answer 1

A plan for the entire treatment of the pt

Question 2

What does the POC include?

Answer 2

• Short-term goals
• Long-term goals
• Intervention plan
• Discharge plan

Question 3

Patient care goals must be ____ and ______.

Answer 3

Functional

Measurable

Question 4

4 Reasons why we write patient care goals?

Answer 4

• Help plan interventions
• Set priorities
• Assist with monitoring cost effectiveness
• Communicate

Question 5

Describe the ABCDs of Goal Writing

Answer 5

Audience
Behavior
Condition
Degree

Question 6

Describe the audience of goal writing

Answer 6

Ask the question who will exhibit the skill?

   - Almost always the patient
   - Can be family members or the patient with family members
   - Never the therapist

Question 7

Describe the behavior portion of goal writing

Answer 7

Describes what the person will do

- Always an action verb and functional behavior, such as demonstrate, list, state, explain

Question 8

Describe the condition / circumstances that are necessary in order to write patient goals

Answer 8

• Circumstances under which the behavior must be done (position, equipment, etc.) must be Conditions necessary for the behavior to occur

Question 9

Describe the degree portion of patient goals

Answer 9

This section describes how well the behavior will be done

   - Must be measurable and observable values
   - Specific time span
   - Express in terms of function

Question 10

What is usually the longest part of LTGs?

Answer 10

The degree portion

- describes how long it will take a pt to achieve a certain goal

Question 11

What are STGs?

Answer 11

Smaller goals that are accomplished first to lead up to LTGs

Question 12

What is the most common time span for STGs?

Answer 12

approximately 1 week

Question 13

STGs may be as short as ____ and may be as long as ______.

Answer 13

1-2 days

2-3 weeks

Question 14

What do STGs depend on?

Answer 14

the pt’s diagnosis, prognosis, and general medical condition

Question 15

What is the time span from LTGs?

Answer 15

It really depends…can be a week, a month, a year or longer

Question 16

What do LTGs depend on?

Answer 16

the pt’s diagnosis, prognosis, and general medical condition

Question 17

Time span = the _____ length of time during which the pt will be seen in therapy

Answer 17

TOTAL

Question 18

What do LTGs describe?

Answer 18

the final product to be achieved by therapy listed in terms of function

Question 19

5 Tips for writing STG & LTG

Answer 19

1) Look at the pt problem list or impairments
2) Look at the pt functional deficits
3) Look at the pt goals
4) Start with the LTG and then create STGs to reach the LTG
5) List in order of priority with the most important goal listed first

Question 20

3 Conditions in which Revisions to STGs & LTGs required?

Answer 20

1) The patient’s condition changes and does not allow progression to functional level originally established
2) The patient’s condition changes and allows for progression to functional level beyond those originally established
3) The time span set is no longer appropriate

Question 21

What does the intervention plan include?

Answer 21

A plan for the interventions the pt will receive while in therapy

Question 22

What should the intervention plan be based off of?

Answer 22

STG and LTG

Question 23

What are a few things the intervention plan may include?

Answer 23

• Modalities
• Ambulation
• Exercises
• Neuromuscular Re-education
• Home Program
• Pt Education

Question 24

What does the discharge plan include?

Answer 24

• Exercises
• Assistive device(s) needed
• Referral to other services if needed