RT Book, Section A1 Riddle, Daniel L. A1 Stratford, Paul W. SR Print(0) ID 1180746003 T1 Outcome Assessment Is Not as Straightforward as It Appears T2 Is This Change Real? YR 2013 FD 2013 PB F. A. Davis Company PP New York, NY SN 9780803629578 LK fadavispt.mhmedical.com/content.aspx?aid=1180746003 RD 2024/03/28 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.