Reduced independence in self-care activities including dressing, feeding, grooming, and hygiene due to motor, cognitive, or sensory impairments.
| Goal | |
|---|---|
| Patient will don/doff an upper body garment independently using adaptive techniques within 5 minutes. |
| Goal | |
|---|---|
| Patient will complete upper body bathing using a long-handled sponge and shower chair with setup assistance only. |
| Goal | |
|---|---|
| Patient will feed self a full meal using built-up utensils with no more than 1 verbal cue for technique. |
| Goal | |
|---|---|
| Patient will perform oral hygiene (brushing teeth, rinsing) independently at the sink while maintaining standing balance for 3 minutes. |
| Goal | |
|---|---|
| Patient will manage 3 types of fasteners (buttons, zippers, snaps) on clothing within functional time limits. |
| Goal | |
|---|---|
| Patient will prepare a cold meal (sandwich assembly, beverage pouring) independently using compensatory strategies for affected UE. |
Use the SOAP note templates on this page: build the Subjective, Objective, Assessment, and Plan sections from the ready-made adl independence deficit phrases. Each uses skilled-service, insurance-defensible language — document the patient's performance plus the skilled intervention you provided, then review and individualize before signing.
The adl independence deficit goal bank on this page provides SMART, measurable goals with a clear condition, target behavior, and mastery criteria. Copy a goal and adjust the specifics to your patient and setting (school/IEP or medical).
They are written with the skilled-service and medical-necessity language payers look for. The licensed clinician must always review and individualize each note before submitting it for reimbursement.
No — you can browse and copy every template on this page for free. A free account unlocks the full SOAP Note Builder, SMART Goal Bank, and Evaluation Builder for your entire caseload.
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