Performance
• Level of
• Quality of
• Hindering factors
• Ability to make decisions
• Quality of judgment
• Ability to express self adequately
• Ability to express self appropriately
• Physical movement (slow, rigid)
• Use of devices/adaptive equipment
• Attitude expressed toward own performance
• Ability to follow rules and directions
• Special Incidents
• Summary of change and performance
Participation
• Interest in activities
• Extent and nature of involvement
• Attention shown/span
• Appropriateness of energy output
• Initiative in choosing activities
• Attitude
• Expressed towards own participation
• Toward rules, winning, competition
Interpersonal relationships
• Relationships with RT and others
• Acceptance of limits
• Manipulative
• Passive, aloof, withdrawn
• Reserved, insecure, timid, shy
• Outgoing, confident,
• extroverted
• Ability to make friends
• Acceptance by others
• Agreeable, cooperative, helpful
• Resistive/Stubborn
• Verbalizes appropriately
Personal Habits or Appearance
• Appropriate dress
• Grooming
• Cleanliness and neatness
• Concern with appearance
• Walk/Gait
• Tics, rituals, habitual movements
State of Consciousness/Mental Activity
• Orientation
• Time
• Place
• Person/Objects
• Preoccupied/responsiveness
• Slow in answering
• Distracted by others or events
• Ability to remember (retention)
• Hallucinations/Delusions
• Intellectual Functioning
• Stability of mood