Talking All Things Cardiopulm
This podcast is designed to discuss heart and lung conditions, treatment interventions, research, current trends, expert opinions and patient experiences.The goal is to learn, inspire and bring Cardiopulm to the forefront of conversation.
Talking All Things Cardiopulm
Episode 99: The Woes and Wows of Documentation
Documentation continues to be one of the biggest frustrations across physical therapy. Despite the many changes in technology over the past 20 years, it can still feel time consuming and an overall arduous task.
Shifting our perspective to an opportunity to showcase our clinical expertise and reasoning can be helpful. I like to look at documentation like an ESPN snapshot. Point out the highlights, the major turning points during the session, the gains, the losses and the why. Tell the story instead of clicking the box.
Looking to enhance your documentation skills? Join me and other experts at the Innovative Treatments Effortless Documentation Summit hosted by the Note Ninjas on May 6-8. This free virtual event offers valuable treatment strategies along with the option to earn 20 contact hours for PTs and OTs.
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Welcome to Talking All Things Cardiopulm. I am your host, Dr. Rachele Burriesci, physical therapist and board-certified cardiopulmonary clinical specialist. This podcast is designed to discuss heart and lung conditions, treatment interventions, research, current trends, expert opinions and patient experiences. The goal is to learn, inspire and bring Cardiopulm to the forefront of conversation. Thanks for joining me today and let's get after it. Hello, hello and welcome to today's episode of Talking All Things Cardiopulm. I am your host, Dr. Rachele Burriesci.
Rachele Burriesci:Before jumping into today's episode, I wanted to put a plug in for the Innovative Treatments Effortless Documentation Summit hosted by the Note Ninjas on May 6th, 7th and 8th. It is a three-day free virtual event. You have access to all of the pre-recorded sessions for that day for 24 hours and then you can upgrade for 20 contact hours for either PT or OT. I'm going to drop the link in the show notes. If you're interested, if you're a PT or OT, or if you are working in a department and you have other PTs and OTs that are there, share that link with them. This is going to be a great event 20 CEUs, 20 contact hours. I always me and Nikki had a whole conversation about CEUs and contact hours the other day. I feel like you need a whole definition on that. So 20 contact hours is 20 hours of content from 20 experts in PT and OT and the lineup is just pretty awesome. We have high intensity neuro rehab with smart motor learning strategies. We have documentation and assessments in home modifications. We have strategies to optimize breathing and performance. That's mine.
Rachele Burriesci:The role of heavy resistance training and rehab and injury prevention for middle age and older adults. Enhancing geriatric evaluations. Integrating caregiver wellness for optimal patient outcomes. Enhancing Geriatric Evaluations. Integrating Caregiver Wellness for Optimal Patient Outcomes. We have Creative Solutions to Enhance Patient Care and Promote Optimal Independence. An OT Approach to Dementia and Bathing, BPPV Basics and Updates and I am so excited for that one. I feel like I need to do a whole course on BPPV and dizziness. It's the one thing that I feel like in our programs back in the day didn't spend a ton of time on and it's just such a hot topic in acute care and you know typically get those consults on a daily basis. So need to tap into those skills a little bit more but don't want to read all of them to you. This is going to be an awesome lineup. It's a free virtual event. You can upgrade for 20 contact hours as well as one year access to all of the recordings. So this is a this is an awesome one. I'm super excited to be a part of this um summit. I'm very thankful for the note ninjas for inviting me to this. This is, uh, this has been really fun promoting and also just being a part of really fun promoting and also just being a part of.
Rachele Burriesci:But that actually is a perfect segue into today's conversation because I wanted to talk a little bit about documentation and so just the summit in general is its purpose is not only to give strategies and intervention ideas, but also to give skilled documentation tips, right? I feel like documentation is one of those conversations that you have with every PT and OT and it's just the guttural right Documentation. And it's true, and I'm going to give both sides of the story and if you're familiar with me, you know you're always going to get the truth and you're always going to get both sides and I think the arduousness of documentation and the time it takes to complete is really the annoying part. Right, it has to be done and it takes a lot of time and, depending on what setting you're in, depending on what documentation EMR you're using, really can enhance and make it easier and efficient, or the opposite. I have been in this game for a long time now and sometimes when I like reflect back on the beginnings, I'm like, wow, I'm pretty damn old. I don't know, I have that, you know. Wow, this has been quite the evolution. And I think this is also part of being a millennial in the sense that we have really seen such dramatic change with technology over the years. Right, I'm an 85 baby.
Rachele Burriesci:I literally had a TV with the knobby-do that you had to get up and turn it and crank it with the rabbit ears. That was the original TV that we had in our house and that just kept upgrading. And all of a sudden now there's remotes and all of a sudden there's cable. Right, like, cable was a big thing in the 90s, like that wasn't. You just had, like what? Five to seven channels, right, and it just keeps going.
Rachele Burriesci:I had AOL, right. So my mom still calls the internet as like a thing, the internet. She calls it AOL and I, you know, I try to help with some of the verbiage sometimes, but she's not wrong, because when we started with the internet it was AOL Literally we had. And so for all my millennials out there, right, anyone who's Gen X or millennial, like I'm sure you're just like vibing with this. Right now I feel like I need to start writing down all the things that we had right, free, I don't know seven day trial and you would need the CD to access said internet. And said internet was on dial-up, like legit, had a phone jack wire, sorry, in the wall and you would have that whole long, you know, sign in time.
Rachele Burriesci:Right, we saw so much change over the course of however many years. Right Now the change is more minutiae, but we're going to talk about new changes too, because I have my qualms. And there's benefit to technology right, it makes you more efficient in some ways and in other ways, it also changes your capacity for good and bad. Right, we're more distracted. We have more notifications than ever before. We're also more immediate and I think that is, you know, just something that we're going to continue to see and expect. But you know, those dopamine hits are real.
Rachele Burriesci:It was actually really interesting being in academia just with grading, right, like getting a grade to your student. Now we had Canva, canvas, canvas Sorry, the two names are so close it's hard to get them right. So Canvas was the basically platform where you would host exams, powerpoints, like all your stuff, all your data, and if you had a multiple choice type test, as soon as they hit enter, they get their grade. That's really fast Now, when we were in school we didn't have when I was in grad school. We're going to go back to back in the day. Apparently, we're going to talk about this today.
Rachele Burriesci:When I was in grad school, I had a flip phone cell phone. It was my second cell phone and there was no texting. Texting was just coming out. And so I'm talking from timeframe wise, 2006 to 2009,. Right, I had a Verizon Razr flip phone. Again, my millennials probably had the same damn phone.
Rachele Burriesci:And in grad school, in my DPT program, people were starting to text, and so I was getting these messages on my phone and I was like I don't know what kind of plan you have, but I pay by the character. I don't know what kind of plan you have, but I pay by the character. No, I just want to for all my youngins out there who have unlimited data, unlimited text, unlimited phone, all the unlimiteds. Texting was so new that you paid by the character, so you would text. If you did text at the time in, like you know, abbreviated as abbreviated as abbreviated as you can get to consolidate the number of characters. Then that it progressed to how many texts you could send right. So all of a sudden I'm having text invoice on the phone bill. I'm like all right, we need to get this under control.
Rachele Burriesci:Also, google was very new, if it even existed yet. So when we were in grad school, I wasn't Googling range of motion. Right, show me how to. There was no YouTube showing me how to do an anterior glide or how to take a blood pressure or what's that breathing exercise. That did not exist, didn't exist. Right, pros and cons. Right, we have so much access to things now. We have so much information at our fingertips, but it's also overload right Back to documentation. But it's also overload right Back to documentation.
Rachele Burriesci:When I started my first job 2009, and actually before that, I was working in an outpatient PT clinic we had paper documentation. My first job actually I'm going back my first job and my first secretary job in a PT outpatient world was paper documentation. Like, the outpatient clinic had a folder. We printed paper, we're faxing insurance off, all that stuff, right Hand handwriting these things. Now, that was always a problem. My first job in a hospital setting was paper documentation. We would go see the patient. We would go to the nurse's station to go get the binder, find the patient's name, go to their binder, chart review right, because you also have to chart review these patients prior to seeing them. So you weren't chart reviewing 20 patients you know prior to seeing them. You were going, you had your list, you go to that person, you read the chart in real time, you decipher everyone's handwriting, which was just awful and then you would document, hand, write a soap note in the hospital setting in the binder and go see your next patient.
Rachele Burriesci:Not too long after starting at the hospital, we switched to an EMR. I don't even remember the name of that EMR, but that was actually one of my favorite EMRs in hospital setting. It was kind of a combination of click and text tool, so there were a couple of click options very few, it was very bare bones. Same for chart review like very bare bones, but like you had everything you needed in one place, which was great. And then we switched to Epic. I don't know how many years later Now.
Rachele Burriesci:Epic's purpose is to be more efficient. Its purpose is to collect more data, right, and so this is part of documentation, but this is kind of like the back end part of it. The problem with using EMRs to collect data is that it becomes a really it's a giant pain in the ass from a documentation perspective. Even though the clicking might be more efficient in some ways, the ability to show your note after is awful. I mean, in my opinion, if anyone's using Epic out there and you document in said cells, right, and you have all these click box options, when you actually turn it into a note, it is so unreadable and so that's very annoying because you spend all this time documenting to show what you have done with the patient and the document is, I don't know, it's really unreadable in my opinion.
Rachele Burriesci:So I literally go in and like make sure that there's breaks in different sections, that it is more readable than it is, because it kind of just jams everything together and has semicolons everywhere, like it's just not. It's not how we read, which is not great for other professions reading our notes, right, it's not good handoff between physicians, nurses, rts, whoever is reading each other's notes. It's just you know it's got it. It has its faults, but one of the things that I have noticed over the span of time of treating, is how documentation has changed, right, we've changed literally from handwriting to computerized, to more of like this epic sort of click box situation.
Rachele Burriesci:I'm all about efficiency, truly I am. I mean, I'm sure if people read my notes they're probably like she's not about efficiency, but I do think, as much as we hate documenting, we have, I mean, it's what shows your skill, right, it also shows the person's needs and I think and it's a great handoff right, like when I get a note that gives me no information outside of, like the facts, you know, contact that I'm like I don't actually, besides the fact that this person moves relatively well, I don't really know much about what happened. And so one of the things I really have always emphasized to my students and mentees is to make sure that you are telling the story, make sure that you are showing the skill in what you're doing, number one and also showing the needs of the patient right, because this is like a two-part need here. As a clinician, I need to know what my counterpart has done or the prior PT the day before, like I need to have that handoff and I need that information to like know what AI need to progress. Next, what to be aware of, what to expect. All of those like heads up things From a patient perspective. They need that note to show their impairments, their abilities, whatever. It is right If we're talking about the hospital setting right now, if the person is, you know, between going home versus skilled nursing, for instance, or acute rehab, right, like we'll put all three on the table and let's say, for instance, because this, this, you know, just happens quite a bit like patients ambulating 200 feet contact guard, but the recommendation is acute rehab.
Rachele Burriesci:We could have all sorts of conversation about that sentence. In general, I would argue that 200 feet, I mean 200 feet, I mean it's a decent distance. There's not a lot of assist being provided. But why does that person need acute rehab? Is it their decision-making? Is it their dynamic balance? Is it their aerobic capacity? Is it that they're tanking their blood pressure? Is it because they need significant up titration with the 200 feet? Right, it's a different story. I just told you a whole different story If I told you the person walked 200 feet, rolling walker, contact guard, and I'm asking for acute rehab. Your first question's why.
Rachele Burriesci:I think sometimes we get so hung up on, you know, just walking distances, that sometimes we forget about the other important things that allow people to become more independent Dynamic balance, for instance, right, or maybe we get too hung up on the number. I remember being in an orthopedic hospital back in New York and there was like a number game, right, if you said the patient walked 300 feet, that's the magic number to go home. It's like could a patient technically walk less than 300 feet and go home? Yeah, I mean, think about your house. Like how far do you need to go from your front door to the kitchen, to the bathroom, to the bedroom? It's probably not 300 feet, it's probably a lot less than that. Could I argue that 300 feet doesn't mean that the person's independent? Totally Right, like I can give you the other side of that coin. The other side of that coin is, yeah, they can go a distance, but how much assistance do they need? How much queuing do they need? Are they a falls risk? Right?
Rachele Burriesci:The documentation is what helps determine all of that. If you just give again 200 feet contact guard, rolling walker, that doesn't tell me the whole story, it only gives me a little piece of that information. So the way I've always described documenting to students, mentees, is to create an ESPN snapshot, right, like we're all coming off March Madness, right, if you were to watch the next morning right, there were 20 games on in the beginning of March Madness you could watch ESPN and get a good feeling of what happened. Who played who, who dominated, what were the faults, who won, who are the star players, what changed the outcome of the game right, you're going to get all those big highlights. That's what documentation is. Documentation is giving those highlights and, in my opinion, it's your ability to show off the skill, the skill of what you did, the impairment of the patient, the improvement of the patient, the decline of the patient right, that's the time that you get to highlight why this person needs to have increased assistance, why this person needs to go to an inpatient setting, post acute care. It gives the why, right, not just the what and the what is important, right, like, the objective piece of all of this is important, but the skill comes in.
Rachele Burriesci:What you're doing, how you're cuing, what you're assessing right For me, what you're assessing right For me vital signs is such a huge part of this right. If, for instance, I don't know patient day before was able to sit edge of bed, maybe they stood and that was all they could tolerate and they laid back down. Well, my next question is like well, what was the limiting factor? Was it their blood pressure? Was it dizziness? Was it pain? Was it fatigue? Was it the patient's not into it and they just said I'm good, I'm done right. Without that conversational piece, you're not telling the whole story. So I really think that, number one, we should be identifying said impairments. We should be giving the snapshot of the session. What went well, what didn't go well? What was the vital sign response? What was the improvements that they showed today? What was maybe a backtrack? Why are you recommending whatever place you're recommending? I think that's kind of the. That's the whole piece, right, and I think when we start using different EMRs, it sort of affects how you are able to portray what is happening.
Rachele Burriesci:I don't know much about Cerner. I have never used Cerner. I just know that they're the competitor to Epic, so I don't really know what their layout looks like. If anyone does use Cerner, I would love to hear kind of how that works as well. Epic's kind of been the primary EMR that I have used literally across the country, and I think the fascinating part is like we've watched it come into each facility we have ever worked in. I think Nikki and I could technically be like the epic gurus and all these places and it's actually really interesting to see this the same software be utilized differently in different institutions, different institutions. It's just actually quite phenomenal how different like the doc flow sheets look, even what they call it right Like there's just a whole bunch of stuff with that, but we have literally seen a epic essentially takeover across the country and also how documentation has very much changed over time.
Rachele Burriesci:In my opinion, I think it's great to have increased efficiency. I love the ability to do like smart phrases right, like the things that you say a lot, the things that you document, frequently throw it into a dot phrase and you, you know, save a few minutes of time. Where I start to lose the efficiency part, right, everyone thinks that click boxes are efficient. I think when I was writing more text format versus Epic, I feel like my documentation time is damn near the same and that text format is much more readable to the person who's, you know, either interdisciplinary or your colleague that needs to check in. So I really think just being able to articulate what you did, describe your interventions describe. The result is so important in documentation From outpatient slash, home health slash, mobile PT.
Rachele Burriesci:I'm going to talk from the mobile PT side. I use Jane. I think Jane is a great software. It's very user-friendly, it's very plug and play. It has the ability to integrate with insurance. It has the ability to integrate with Medicare. There are third-party software connection things that you have to use in order to do such things. I don't use that side of Jane so I'm not as familiar, but if you did want to know more, I have videos on YouTube where I talk with a Jane representative showing some of that back end stuff and it's been really nice to actually be able to customize how I want to document, which has been great. So, like from a mobile perspective, my primary population is Cardiopulm. That is not a very common niche across the PT world, even across like EMR type stuff, right, jane is awesome because it has all these like built-in templates that you can basically download and customize yourself. Cardiopalm isn't one of them. So it's nice for me to know what I want and be able to literally create documentation so I can easily plug and play and that saves me a ton of time.
Rachele Burriesci:I've also played with the idea of trying to use voice to text either while I'm driving or after my session or during my session to sort of speed it up. I don't really do that. I usually keep my documentation open while I'm working with the patient and I'll just kind of jot some you know trigger words while we're working together, just so that I have the memory and I'll clean it up when I get home. Everyone's got their things. I think if I have a higher patient caseload I'll probably start documenting in the car, maybe utilize voice to text to kind of speed things up. So just having some of that conversation is really nice too, just to see how you can like create a little more efficiency and take some of the woe out of documenting.
Rachele Burriesci:Because you know it's probably the number close to number one complaint across PTs, across settings. My home health colleagues I got I don't, that is not my domain. I was talking to a recent former student of mine who went into home health and you know reiterated the cumbersome, arduousness of the documentation that is required for home health and you know that's the hard part. It's what is required for insurance. Insurance is getting even more, you know, aggressive with declines, the things I'm seeing just kind of across PT, even physicians, like what physicians are dealing with to get approval for medication, a surgery, a procedure, whatever it is. It's just. It's a little bit disheartening in some ways, and so those are the times where documentation is even more important, right. So really showcasing your skills, showcasing what has improved, what has declined, using your objective ability and ability to articulate what has happened in your session, to show the need for either continued PT or what, what have you?
Rachele Burriesci:One thing I haven't even touched dove into, and so if anyone is using AI for documentation and you want to talk about it, how are you using it? I would love to have you on the podcast. I know there's a few softwares out. I can't pull the name right now. I actually saw it the other day. I, you know, I have my um, my guard up a little bit with AI, and so same thing, right. Like we watched technology happen, we watched the progression, and so AI is the next progression.
Rachele Burriesci:I'm a little nervous about how it's being utilized, how easily it is accessed, how I don't know. I just have a little concern about it. I'm actually glad I'm not in academia right now, because the ability to use AI to write a paper, create anything is so easy, right, like I was on a meeting recently with a tech company and they were using AI to. I mean this person had AI to collect emails across any profession, just like dial it in. She had AI to basically create all sorts of templates. I mean she had an AI software for every single thing and you see it all over Instagram or Facebook or write all the commercials. For all these AI softwares to edit everything, all the deep fake videos.
Rachele Burriesci:It's getting harder and harder to distinguish from a. What I have used it for purpose. I play around in chat, chat, gpt a little bit for like outlines, some um titles, for like podcasts or blog things. The problem I have just across the board is it feels very AI. So, like I use Buzzsprout as my podcast software to basically host it, and when I plug the video into Buzzsprout I have the option for like AI generated show notes and all kinds of things, and I'll have it. Show it to me. It just feels very AI and I know this is going to get better, which is a little scarier to me too.
Rachele Burriesci:But like I don't know, I can't. I personally can't use something that's not mine. It just doesn't feel right. Oh, I definitely froze. Okay, I'm going to let that. I'm just going to let that blip come out there. I just can't. I don't have. I don't know if it's an integrity thing, like I can't put something out that I didn't create.
Rachele Burriesci:I like it for ideas. It kind of gives you some ideas on verbiage, but it feels very AI and I I can pull an AI title. There's just very specific words that they like to use and it just feels not genuine. I don't know if that's the right word, but if we're using it for documentation, I'm curious how that's going to look right. Is it going to be listening during your session and then basically compile the information? Is it going to just basically create a soap note based on the things that you lay out? I don't know. I'm kind of curious to see how these work. It just makes me a little nervous because as you start doing this and using this, you become less in tune with what's being put out, and are you actually proofreading it right and addressing it and editing it? So I don't know. I kind of went a little bit right on this, but I'm just curious how that's gonna look right. I just I'm a millennial, I've seen all these things happen. I'm a little nervous about AI and its functionality and I will add one more piece here.
Rachele Burriesci:The less and less we do, the less and less we create, the less and less we articulate, the less you're able to. I'm all about using it as a tool. I'm even hearing a lot of people using it as a alert, like to teach you how to do things. I feel okay about that. Things. I feel okay about that.
Rachele Burriesci:Where it's pulling information from is kind of endless, right. So is the information accurate? And what happens when you start relying on something that isn't I don't know fact-checked across the board? Right, it's different from reading an article yourself and being able to pin it to that specific article. It's just giving you the information. It doesn't tell you where it got it from and from being in academia and just kind of seeing the change in generations.
Rachele Burriesci:And I even think about, like my niece, like she's had a phone, a tablet in her hand since she was way young. I mean, she was using all these, you know, flipping through TikTok at whatever age, right. And she's like texting Texting is like very common right. What happens when you text? You get autocorrected, right, and so I feel like the ability to actually spell right. I'm just going to break it down as honest as it is, spelling is a problem and because everyone has autocorrect or grammarly on their computer, if you ask someone to, you know, write this out. The grammar is not great, the spelling is not great and the more and more we depend on and utilize other information, I just kind of question our intellectual abilities across it. So I know I went a little bit right, but it's kind of been a concern. I even think about GPS right Again.
Rachele Burriesci:Another thing that we saw change over time, back in my day, I mean when we were kids, we had maps. We had maps in the car like legit maps to get. I remember like Hershey Park, we're driving to Hershey Park in Pennsylvania and there's like a map, like a legit map, navigating it from New York. When we played I played basketball and was travel basketball we had MapQuest. That was like a big deal. You put in the address to and from and you had the printout of where to go. Now you come in the jump in the car. It knows that I'm like going to work. It tells me okay, go to work. You click it, even though you know how to get there and you just start relying more and more on technology to kind of do all the things. That makes me a little technology to kind of do all the things. That makes me a little I'm a little worried about it.
Rachele Burriesci:But with that being said, I feel like we really need to take ownership of our documentation, make sure that we are showing skill, not that we're just clicking the box and getting it done. Trust me when I say I would love to just say bing bang, boom, send it off. I just I can't do it because I think it's probably a little integrity thing. I don't know, I just have to like this is what we did. I want to showcase it. The good, the bad, the ugly, the pros, the cons, the highlights got Gotta let them know. So if you are interested in having some more documentation tips, even some intervention ideas, get a different take, check out that three-day virtual event hosted by the Note Ninja. It's going to be awesome.
Rachele Burriesci:In my presentation I do all sorts of examples of documentations with my strategies that I use. Right, I pretty much go through my four primary strategies I use on a day to day basis. To be honest, I use all of them today. I really think it's important that you have like words to put behind things and sometimes Nikki and I kind of go back and forth about it too, like how would, how would you say this? And just being able to articulate what you did, how you did it, what the outcome was, what the you know big event was in that time period, is important. Right In the world of cardiopulmonary you have like four primary impairments that you see Impairment of gas exchange, impairment of ventilation, impairment of aerobic capacity, impairment of airway clearance.
Rachele Burriesci:I was trying to think of what my fourth one was. Those are your like primary problems. What does your person have? Right, if your person has oxygen needs, they're wearing oxygen, you're up titrating. They have an impairment of gas exchange. If your person has mucus, well then they probably have an impairment of gas exchange and they probably have airway clearance impairment, right. So both are important. If your person has maybe like a neurologic dysfunction I had a lot of patients post-CVA today one-sided weakness you're probably going to see more impairment of ventilation. Where it's more a mechanical functional strength issue, it's probably one-sided. Right A person has impairment of ventilation my heart failure population, high prevalence of impairment of aerobic capacity, obvious reasons right. Their overall capacity, their endurance is low. Focus on that. That's the primary impairment. Then you're going to pick your interventions based on those impairments right.
Rachele Burriesci:Showcase what did you do to help that gas exchange? Well, we did inspiratory holds. We did inspiratory holds, we did stacked breathing, we did maybe percussion vibration because they have increased mucus. We were able to do huff, cough, clear it and we improved SpO2. Maybe we got a ventilation issue, maybe we have mechanical deficits, maybe we're using like things like the sniff technique or diaphragmatic breathing. I did a lot of pursed personal breathing today. Right, a lot of pain management. What's what are you? Why are you doing? This thing Should link back to your impairment and then that should all hook back into your goals, right?
Rachele Burriesci:So making the whole story kind of work together is the whole goal of documentation. I know it's a pain in the ass, like I'm going to be very honest with you, it takes a lot of time, right, we can become more efficient with different tools to kind of help us along the way, and also, when you have kind of strategies or similar patient populations, you're going to see some ease in all of that. But at the end of the day, I think we really do need to show off our skills, and I really mean this from a place of as a profession. Showcasing what we do is so important. I think I have this conversation once a day, once a week where we have so we have such a wide breadth of knowledge in pt and I think we need to do a better job of showcasing what we can do In the acute care setting.
Rachele Burriesci:I would talk about the example of, you know, walking patients. It is just something that drives me up the wall when we that's what we go back to it's like oh, are you going to walk my patient today? There might be walking involved, there might be. We might be doing gait training, we might be ambulating for endurance, we might be. But there's context, right, and I think documentation gives that context. It also shows your skill. We don't just walk patients Drives me up the absolute wall.
Rachele Burriesci:Those stereotypes exist in every setting. Part of undoing stereotypes is showing your worth, showing your skill. Documentation is a piece of that puzzle. So when you're having your documentation woes and this is a giant pain in the ass feeling Remember that this is part of showcasing you, showcasing your patient, right, it's the ESPN snapshot. Show your skill, show the impairments, show the improvements, make the impairments meet the interventions which match your goals right? That's the whole big picture of this whole thing. And then having the words to put around it. I think that for me sometimes this is the fun part. It's like how do I want to word this right? And so, yeah, that all takes time, but the more you do it and the easier it does get.
Rachele Burriesci:We're going to continue to see technology be a part of this conversation. Pros and cons of that exist always, right? So, again, if you are using AI in any sort of way in the world of documentation, I would actually love to hear how you're using it. I would love to hear the pros and cons. Just reach out to me, let me know. I'm actually really curious.
Rachele Burriesci:And again, if you're interested, sign up for that three-day virtual event. Link is in the show notes. If you want to upgrade, you get 20 contact hours for both PT and or OT pending your profession and you'll have your access to those recordings, and there's great variety in what's being presented. So, at minimum, take a look and see what's there. If something sparks your interest, get after it. All, right, I hope you all have a wonderful day. I hope this was helpful for you. I know I kind of went on a little tangent there, but you know, if you have questions, if you have advice, if you have woes with documentation, let me know. All right, I hope you all have a wonderful day and whatever you have to do again after it.
