Progress or Participation
What is the difference between just showing up and actively engaging in an activity?
What is answering questions, participating in activities and discussions vs being distracted or disassociated from group and activities.
Replace "he was lazy" with something more professional.
What is "he declined to participate today"
Fill in the Blank : Document what you ____, not what you _____
What is saw, felt
Should you use full names when describing peers in documentation?
What is No
What does the "S" in SMART Goals stand for?
What is Specific?
"Client attended cooking class but did not cook." What is missing?
What is a note about their level of participation and the steps staff took to gain participation, what client choose to do instead.
Replace "She freaked out" with more objective phrase.
What is she became visibly upset and raised her voice.
What is " He sat quietly with his head down and did not speak"
Instead of saying "with Sarah" how could you write it?
What is "with another participant/peer/client"
Why is it important to document steps toward a goal, not just he outcome?
What is to show progress and support growth?
True or False- participation automatically equals progress.
What is false?
Why should caregivers avoid judgmental language?
What is because notes must stay professional and factual?
Why is it risky to include personal opinions in notes?
What is because opinions can be misinterpreted or unprofessional.
What type of identifying info should be avoided in notes?
What is last names, addresses, or medical details.
Example " Sue practiced using the buss app to plan a route" What type of documentation is this?
What is goal related documentation?
"Ashley folded laundry with one verbal prompt" What kind of note is this?
Progress Based Note
Reword "He was rude to staff"
What is "he did not respond when staff greeted him?
Reword " She was in a great mood today!"
What is She smiled and initiated conversations with peers.
True or False- It's okay to mention another participant's behavior in a note if it helps explain context.
What is True, only if necessary and without using names.
How do goals help with person-centered care?
What is they connect daily activities to what matters to the participant.
Why should staff describe both what happened and what skill was used?
What is show measurable progress over time?
Reword "She had a meltdown for no reason"
What is she became upset after a schedule change was announced?
What kind of evidence supports factual writing?
What is observable, measurable behavior
What's a safe way to describe a peer interaction?
What is he worked with another participant to complete the task.
Double Jeopardy
Write one example of a goal focused note.