Documentation

So much of our therapist's time is spend doing documentation and unfortunately much of it is of poor quality.  Teach your therapists the difference between a goal and a functional objective.  A goal might read something like "Patient will demonstrate 3+ strength in bilateral upper extremities" and the intermediary will say "So??"  A goal that reads something like "Patient will propel self to diningroom and other locations within 150 ft radius of her room 80% of opportunities" would be a functional objective.  This type of goal matters to the patient and to the reviewer because it will make a huge impact on the patient's quality of life and ability to live more independently.  I'll be discussing more topics surrounding documentation in upcoming posts.