CMD465: Report Writing Techniques
Terms in this set (22)
third person past tense
reports are generally written in
types of reports that cannot be written in past tense
spelling, grammar, punctuation, and complete sentences
when writing reports, there should always be correct
person, tense, and number
within a sentence, there should be no shifts in
subject verb agreement
Terms that intervene between subject and verbs (such as a clause) do not affect
assure pronoun referents are clear
If two males or females are mentioned within the same sentence, the following pronoun reference should
reported by others versus information obtained through direct clinical observation
information should ALWAYS be differentiated between..
- "it was reported by Mrs. X..."
- "according to previous medical records...."
- "during the evaluation..."
wordiness through exaggeration and overstatement (completely/extremely intelligible... it is possible that....")
Be clear and concise but do describe; avoid
specific and unambiguous
language should always be
give any information
using vague, nonspecific terms does not
colloquial or informal expressions (can't -> cannot OR "came up with" -> created or developed)
specific to the field
be careful of using language that is
keep the reader in mind and gear to understanding level
in terms of terminology, one should always
medical conditions or use medical terms when it is out of our area of expertise (we can diagnose things like apraxia, etc.)
SLPs DO NOT diagnose
ID and describe behaviors
avoid labels, instead
labels stick with a person
why a clinician should avoid labels if possible
do not refer to a person in terms of
puts the disability before the person
why we should not refer to people in terms of their disorder
use positive terms when possible
- Avoid negative terms such as "cannot, would not, did not"
- Instead of saying what is not, say what is
when possible, clinician's should write this type of report
insurance reports; if insurance is going to cover someone, they need to be aware that the individual needs help
when is it not possible to write a compentency-based report and why?
strengths and competencies
Finding ways to describe patient's performance in the positive communicates...
e.g. "is at 6 year age equivalent (CA (chronological age) = 8.6)