Therapy & rehab
Every discipline posts today's goal, what actually happened in the session, and the plan going forward.
Physical Therapy
R. Patel, PT, DPT · Today 09:30 · 45 min
Goal
Ambulate 150 ft with rolling walker, supervision only
Today
Walked 110 ft with rolling walker and contact-guard assist (up from 80 ft Monday). Sit-to-stand x5 with minimal assist. No loss of balance.
Plan
Continue 5x/week. Add stair training Thursday. Target discharge home with daughter by 9/8.
Occupational Therapy
J. Whitfield, OTR/L · Today 13:15 · 30 min
Goal
Independent upper-body dressing and safe toilet transfer
Today
Dressed upper body independently using reacher. Toilet transfer with supervision and grab bar. Fatigued at 25 minutes.
Plan
Home safety evaluation Friday. Recommend grab bars, raised toilet seat, shower chair.
Speech Therapy
C. Mbeki, CCC-SLP · Today 15:00 · 30 min
Goal
Safe swallow on mechanical soft diet, no coughing with thin liquids
Today
No overt signs of aspiration today. Cued for small bites and chin tuck. Tolerated thin liquids well.
Plan
Re-evaluate for diet upgrade to regular texture next week.
Registered Dietitian
S. Kim, RD, LD · Today 10:00
Goal
Maintain weight, meet 1.2 g/kg protein for wound healing
Today
Weight down 0.6 lb this week; intake averaging 65%. Protein supplement added mid-afternoon.
Plan
Add Greek yogurt snack daily, recheck weight in 3 days, family may bring approved favorites.
Respiratory / Restorative
B. Oyelaran, RRT · Today 07:15
Goal
Incentive spirometry 10x per hour while awake
Today
Reaching 1250 mL. Lungs clear bilaterally.
Plan
Continue restorative walking program with nursing on non-therapy days.
Why these notes matter for coverage
Measurable therapy progress is the main evidence Medicare uses to decide whether skilled care continues. If coverage is ending, print these notes and attach them to the appeal.