Altiera Wiggins

DAP Note 2

Here is another example of my DAP Note:

  • April 27, 2018 at 4:12 PM
  • Visible to public
D-   On Friday March 23rd, 2018 I met with my client SH at her residence. Client did not want to get out of bed to take a shower. SH refused to take shower telling staff to leave her alone and that she was not going to take a shower. SH’s goal is to not be verbally aggressive with other residents or staff in the home.

 
A-    Staff told SH it is necessary for her to shower just in case she had visitors. SH then asked staff if they could pick out her clothes for her shower.  Staff then helped SH with her ADLs and got her dressed. SH wanted to then take a shower due to the possibility of visitors that could come to the residence. After SH had her shower staff suggested SH do some coloring activities. SH was cooperative until one of the male clients started to taunt her. SH began to be verbally aggressive toward him. Staff told SH that it would be best to continue at her room.   SH was cooperative with staff and went to her room. 

 P-  Continue to work on goal with SH to limit verbal aggression with other male clients in the house.