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.
“Write a progress note for a follow-up appointment”“The insurer is questioning continued treatment — what should my notes show?”“How do I document clinical reasoning in a progress note?”“My notes just list what I did — how do I improve them?”“Write a note where the patient has not improved”
What to give it
▸The initial assessment markers — what was chosen to re-test, and the baseline values
▸Today's findings — the same measures, plus anything new
▸What the patient reports — function, symptoms, and what has changed in their week
▸Adherence — what they actually did between visits
▸The treatment given today — and, more importantly, the reason for it
✅ The bar it holds itself to
Every skill in this library self-verifies — these are this skill's own quality checks, straight from its definition.
✓The same markers from the initial assessment were re-tested
✓Function is reported before impairment measures
✓The findings are interpreted against the working hypothesis, not just listed
✓Adherence is recorded factually
✓The plan states what changes and why, including a reasoned decision to continue
✓Objective measures are shown as a trend across visits
✓A discharge trajectory is stated
⚠️ What it refuses to do
**'Continued as before.'** The phrase most likely to trigger a funding review, and fairly.
**Recording treatment without reassessment.** Documents attendance, not care.
**Listing findings without interpreting them.** The reasoning is the note's only real content.
**Blaming the patient for adherence.** Record the fact; it explains the result without judging.
**No change after six visits and no revised hypothesis.** The plan should have changed, or the reasoning should say why not.
Install
npx pm-claude-skills add --agent claude # or codex · cursor · gemini · hermes
# or one-line MCP (every skill, any client):
claude mcp add pm-skills -- npx -y pm-claude-skills-mcp