In the therapy world, it is not easy to manage both providing effective treatment and completing our best documentation. How can we balance the scales to reflect that we can be just as effective documenters as we are clinicians?
First, we need to be honest with ourselves and determine what type of individual documenters we are, as this will help us articulate how we best can change. No matter which habits you have formed, there are ways to elevate your documentation into a clearer picture. Challenge yourself to read each of the unique documenter characteristics below and conclude which one(s) you can relate with the most! Use the associated tips as a starting point to improve and re-focus your documentation.