TY  - CHAP
M1  - Book, Section
TI  - Outcome Assessment Is Not as Straightforward as It Appears
A1  - Riddle, Daniel L.
A1  - Stratford, Paul W.
Y1  - 2013
N1  - 
T2  - Is This Change Real?
AB  - In  a  recent  patient  encounter,  when  asked  how  he  was  doing  during  follow-up,  my  patient  told  me  the  following:  “I'm  doing  better  but  I  still  have  some  pain.”  At  first  blush,  this  may  indicate  some  improvement,  but  does  it  really?  These  types  of  ambiguous  responses  are  a  real  challenge  for  therapists  making  decisions  about  whether  their  patients  are  improving,  getting  worse,  or  staying  the  same.  To  achieve  some  clarity  regarding  his  pain,  when  I  asked  him  to  rate  his  pain  for  the  day,  he  scored  it  at  a  5  on  a  0  to  10  verbal  pain  rating  scale.  This  score  was  1  point  less  than  the  score  reported  on  his  initial  evaluation  about  2  weeks  ago.  What  do  I  write  in  the  medical  record?  How  do  I  decide  what  to  write?  I  want  to  capture  the  truth  about  the  patient's  condition,  but  I'm  unclear  on  what  the  truth  really  is  given  his  response  to  my  question.  
SN  - 
PB  - F. A. Davis Company
CY  - New York, NY
Y2  - 2024/04/19
UR  - fadavispt.mhmedical.com/content.aspx?aid=1180746003
ER  -