COOKING Group Therapy Documentation Template

SHORTCUT: /CG
Subjective
Patient consented to group therapy.
Goals for session were reinforced to patient: 1. Standing balance/ tolerance
training
2. bilateral hand tasks training
Objectives
Cognition:
-Follows __ steps instructions consistently/inconsistently
-Attention: Good/Fair/Poor
-Sequencing: Good/Fair/Poor
-Problem Solving: Good/Fair/Poor
Social:
-Patient was able/unable to initiate/ sustain appropriate conversation with other
members
-Maintains good/poor eye contact when talking
-Mood:
Physical:
-Fine motor skills:
-Bilateral hand use:
-Sitting balance:
-Standing balance:
-Activity tolerance:
ADLs:
-functional mobility:
-Transfers:
Cooking group session:
- able to hold ingredient with left hand and cut using right hand safely
- able to stand over stove to cook fried rice with supervision
- required physical facilitation to wipe utensils dry in standing
-Safety Awareness: Good/Fair/Poor, able to handle knives and hot objects safely
Intervention
Cooking group (Mee Goreng)
Evaluation
(Dependent on goal that was referred for)
Eg if for standing tolerance:
- patient was able to sustain 10 minutes of standing activities. Required
intermittent rest breaks during session.

Form last revised JUNE 2015.

COMM OUTING PLANNING Group Therapy Documentation Template

SHORTCUT: /COP
Subjective
Patient consented to group therapy.
Aims of session was explained to patient (to prepare patient for community
outing)
Objectives
Cognition:
-Follows __ steps instructions consistently/inconsistently
-Attention: Good/Fair/Poor
-Problem Solving: Good/Fair/Poor
Social:
-Patient was able/unable to initiate/ sustain appropriate conversation with other
members
-Maintains good/poor eye contact when talking
-Mood:
Physical:
-Sitting balance:
-Standing balance:
Community outing planning:
- able to set goals for self during comm outing:
1.
2.
- able to identify possible problems during comm outing
- required prompts from therapist to identify strategies to overcome problems
Intervention
Community outing planning
Evaluation
Participative. Tolerated well.

Form last revised JUNE 2015.

COMM OUTING Group Therapy Documentation Template

SHORTCUT: /CO
Subjective
Patient consented to group therapy.
Goals for session were reinforced to patient: 1. Standing balance/ tolerance
training
2. Confidence in community
Objectives
Cognition:
-Follows __ steps instructions consistently/inconsistently
-Attention: Good/Fair/Poor
-Sequencing: Good/Fair/Poor
-Problem Solving: Good/Fair/Poor
Social:
-Patient was able/unable to initiate/ sustain appropriate conversation with other
members
-Maintains good/poor eye contact when talking
-Mood:
Physical:
-Fine motor skills:
-Bilateral hand use:
-Sitting balance:
-Standing balance:
-Activity tolerance:
Community outing:
- able to manage kerbs and stairs with supervision/modified independence/
independently
- money management: able to receive correct change
- shopping: able to make order independently
-Safety Awareness: Good/Fair/Poor, able to look out for oncoming traffic, able to
ask for rest breaks when needed
Intervention
Community outing to coffeeshop/ NEX
Evaluation
(Dependent on goal that was referred for)
Eg if for standing balance:
- Required minimal assistance to board shuttle bus
Eg if for cognition
- Required prompts to remember what to purchase

Form last revised JUNE 2015.

FALLS PREVENTION Group Therapy Documentation Template

SHORTCUT: /FG
Subjective
Patient consented to group therapy.
Goals for session were reinforced to patient: 1. Educate on falls prevention
techniques
2.
Objectives
Cognition:
-Follows __ steps instructions consistently/inconsistently
-Attention: Good/Fair/Poor
-Sequencing: Good/Fair/Poor
-Problem Solving: Good/Fair/Poor
Social:
-Patient was able/unable to initiate/ sustain appropriate conversation with other
members
-Maintains good/poor eye contact when talking
-Mood:
Physical:
-Fine motor skills:
-Bilateral hand use:
-Sitting balance:
-Standing balance:
-Activity tolerance:
Falls prevention group session:
- able to identify falls behaviors independently
- able to identify environmental hazards independently during simulated practice
- required verbal prompts to recall falls prevention strategies
Intervention
Falls prevention group therapy
Evaluation
Participated well.

Form last revised JUNE 2015.