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physio-progress-note

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Write a physiotherapy progress note that shows clinical reasoning rather than attendance — what changed against the reassessment markers, what that means for the hypothesis, and what the plan does next. Use when asked to write a progress note, document a follow-up appointment, justify continued treatment to a funder, or when notes read as a list of what was done. Produces the reassessment against markers, the interpretation, the plan change with its reason, the objective-measure trend, and the discharge trajectory. A documentation framework for a licensed clinician; the clinical content remains theirs.

plugins/pm-physio/skills/physio-progress-note/SKILL.md

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# Physiotherapy Progress Note

Most progress notes record what was done to the patient. A funder, a colleague, and your future self all need something different: what changed, what it means, and why the plan is what it is now. A note that says 'continued as before' across six visits is what triggers a funding review, and deserves to.

## What This Skill Produces

- **Reassessment against the markers** — the same measures from the initial assessment, so change is visible rather than asserted
- **The interpretation** — what the change, or its absence, means for the working hypothesis
- **The plan change with its reason** — including the deliberate decision to continue unchanged
- **The objective-measure trend** — numbers across visits rather than one snapshot
- **Adherence, recorded factually** — what the patient actually did, without blame
- **The discharge trajectory** — where this is heading and roughly when, which is what a funder is looking for

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