Monday, December 9, 2013

40 Documentation Terms for Pediatric Therapy


After seeing this post on Pinterest from Creative Clinical Social Worker, I thought it would be helpful to post about terminology to use for pediatric therapy.  If you follow my blog or website, you know I love the words "facilitate", "promote" and "encourage".  When documenting therapy sessions I tend to overuse the words "completed" and "accomplished".  So in order to expand my vocabulary I looked over the list and added some of my own.  Some of the terms are more suitable for evaluations and some are more suitable for on going documentation of therapy sessions.  Try adding some measurable outcomes to these verbs for goal setting.    

Here is a list of documentation terminology for pediatric therapists:
Accomplished
Assessed
Assisted with
Completed
Created
Cued
Decreased
Developed
Discussed
Educated
Elicited 
Encouraged
Engaged
Explained
Explored
Evaluated
Facilitated
Generalized
Guided
Helped
Identified
Increased
Informed
Investigated
Modeled
Modified
Monitored
Observed
Problem solved
Promoted
Provided feedback
Reviewed
Reinforced
Responded to
Recommended
Taught
Tracked
Utilized
Validated
Worked on

If you would like a printable of this page to toss in your therapy bag, wallet or purse to increase your vocabulary next time you write up an evaluation or session note visit YourTherapySource.com.

What is your favorite documentation terminology?  

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