Session 18 - Goal Writing, Progress Note Writing, Discharge Planning

Question 1

describe the 4 essential components of a goal.

Answer 1

• measurable
• narrowly defined
• achieved in a certain amount of time
• must reflect functional status so always state ADL or functional task

Question 2

• related to the client’s functional skills and/or resumption of roles
• written in terms of major ADL task or domains
• usually will determine the time to discontinue therapy (ex: by discharge)

Answer 2

LTGs

Question 3

are the incremental steps that can ultimately lead to LTG achievement

Answer 3

STGs

Question 4

why are goals not written in terms of the treatment activity?

Answer 4

observable behaviors in treatment become what you document in progress note.

Question 5

name the 3 components that determine how the change process occurred.

Answer 5

• what were the (human/nonhuman environmental) conditions to facilitate this change?
• what UIAs have improved during which functional or ADL tasks?
• observable behaviors determine how the patient has changed and become what you document in progress note.

Question 6

documenting the change process

Answer 6

progress notes

Question 7

name 4

crucial components of progress notes for training caregiver/family.

Answer 7

• set up of all equipment and use
• safety measures
• use of cues and physical assistance and watch responses of pt.
• DOCUMENT RETURN DEMONSTRATION

Question 8

documentation of di