3/9/2023 0 Comments Loong craft cheat no survey![]() Not only do utilization reviewers hate that type of generic language, but it also robs us of the ability to demonstrate our clinical reasoning and treatment rationale! DO show proper strategic planning of each patient’s care So, why do many OTs insist on writing things like: “Continue plan of care as tolerated”? But we OTs already know this function is our bread and butter. It felt like most of the hour was spent talking about how important it is to make goals functional. I once took a CEU course on note-writing that was geared toward PTs. Improved range of motion and stability of her right arm confirms that her use of shoulder home exercise plan is improving her ability to use her right upper extremity to gain independence with self care.” Plan (P) DON’T get lazy Instead, consider something like: “Patient’s reported improvements in tolerance to toileting activities demonstrate effectiveness of energy conservation techniques she has learned during OT sessions. Lack of pizazz aside, that’s not enough to represent the scope of your education and expertise-nor the degree of high-level thinking required to carry out your treatments. We tend to simply write: “Patient tolerated therapy well.” Or we copy and paste a generic sentence like: “Patient continues to require verbal cues and will benefit from continued therapy.” The assessment section is your place to shine! All of your education and experience should drive this one crucial paragraph.
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