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Progress Notes. KNR 279 Stumbo & Peterson, 2004. PROGRESS NOTES. Used to monitor progression toward or regression from the goals established in the treatment plan If necessary, to modify the original plan of actions Provide periodic updates to the original treatment plan. CONTENT.
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Progress Notes KNR 279 Stumbo & Peterson, 2004
PROGRESS NOTES • Used to monitor progression toward or regression from the goals established in the treatment plan • If necessary, to modify the original plan of actions • Provide periodic updates to the original treatment plan
CONTENT • Progression, regression, no change towards goals • New patterns of behavior • Consistency of behavior • Verbal information provided by client or family • Successful or unsuccessful attempts at a task
CONTENT (cont.) • Appropriate or inappropriate interactions with staff, family, peers, visitors, others • Differences between behaviors in facility & community • Response to questions, requests, instruction • Self initiating behaviors, decision-making
CONTENT (cont.) • Attendance & participation • Physical cues • Environmental cues • Completion of assessment & where located
PRINCIPLES • Professional!!!!!!!!! • Accurate & timely • Behavioral language • Consistency • Brevity • Clarity • Correcting errors