[Adta] documenting movement data

[Christine Hopkins]

Hi Lora--

I'm responding to your message (pasted below) about documenting movement data in charts. My dmt training (NYU grad school) and experience in work settings indicates that using lay language is best, since charts are read by nurses, doctors, physical therapists, social workers, aides, etc.  I have found that staff are very appreciative of simple and clear descriptive language about body movement data and that it helps them observe movement data better also.

Hope this helps in your process of building how you want to include movement data in charting at your facility.

Christine Hopkins

Date: Thu, 22 Feb 2007 01:03:59 +0000
From: "Lora Wilson" <writelora at hotmail.com>
Subject: [Adta] incorporating DMT parameters into hospital
documentation
To: adta at adta.org
Message-ID: <BAY121-F9F30E5684FBBFB5FA293BA28F0 at phx.gbl>
Content-Type: text/plain; format=flowed

Hello all.

Wow! There has been so much written in the past few days on research and 
evidence-based data... I haven' had a chance yet to read everything but I am 
looking forward to it greatly.

On a related note, the psych hospital I am working at is in the process of 
reformatting our "group participation logs."  I am technically part of the 
Activity Therapy dept, along with a music therapist and two recreational 
therapists.  We are going to streamline and make one log for AT dept and SS 
dept to use to chart on groups.  Both depts currently chart on the following 
data:

Thought Process/Cognition (e.g., focused,tangential, superficial responses, 
disorganized, etc)
Mood/Affect (e.g., agitated, anxious, depressed, congruent, manic etc)
Participation Level (passive, dependent on prompts, active, resistant, etc)
Behaviors/Interactions (verbally abusive, oppositional, isolative, 
cooperative, etc)
Goals

******
I would very much like to officially incorporate movement based 
data/observations into the chart.  Of course, currently, I will chart 
movement observations in the notes, for example, "anxious as evidenced by 
pacing, psychomotor disturbances of hands, etc" but nothing beyond that.

Have any of you officially incorporated movement data into your charting?  
Is it based on Laban, KMP or on more "generic" layman descriptions?  This 
may be my only shot at incorporating a dmt influenced change into this 
document (change is not easily accepted here.)

Do you have any suggestions for me?

Many thanks,
Lora Wilson, MA, DTR
Long Beach, CA
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