Goal & Note writing Flashcards
Client required frequent redirection during cooking task… What part of the SOAP note would this go in?
Objective
Goal writing should include the following:
A. measurable
B. Observable
C. What the therapist thinks is important
D. All that the client wants to do
A&B
also should be important to the client
achievable to the client within a reasonable period of time
TRUE OR FALSE!
Once you write a goal you can never change it.
FALSE!
GOALS are meant to be updated!
What does the “O” in COAST goal writing stand for?
Occupation
What does the “A” in SOAP notes stand for?
Assessment
Patient will benefit from continue with OT services for self feeding and upper body strengthening. This would be found in which section of the SOAP note?
Plan
Identify the (S) specific conditions for this COAST goal: Client will perform 3-step cooking process with 2 or fewer verbal cues for sequencing and safety from w/c level in rehab kitchen by March 20th.
from w/c level in rehab kitchen
Intervention client wishes to accomplish by discharge of services, describes what?
A goal
This section of the SOAP note states the OT’s analysis & interpretation of events, provides OT’s clinical reasoning,
relates WHY this is important to client’s life, how it will impact
Assessment