How to Write Assessment Statements

Assessment Statements

When writing an assessment statement make sure it is detailed, shows your skill and is functional.

Examples of POOR Assessment Statements

• Gains are increased distance with ambulation and improvement of caregiver being able to assist patient secondary to progressing dementia symptoms.
  • For this assessment you would want to add the distance ambulated and where they can get to now.

• Skilled care is required to continue with skilled PT or OT to improve quality of life and reduce amount of assistance required from caregiver.
  • For this assessment it is too global of a statement (make it more specific) and make sure to add in function.

Examples of GOOD Assessment Statements

• Pt with slow progression secondary to hindrance to rate of recovery and poor carryover of skilled training with transfers and ambulation secondary to poor cognition, frequent mood fluctuations causing low motivation at times due to progressing dementia.
• Pt’s hindrances of rate of recovery and poor carryover are being addressed with frequent verbal and tactile cueing with ambulation and transfers, frequent caregiver education regarding dementia symptoms, support groups and social worker services.

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