How should you document a goal that was partially met?

How should you document a goal that was partially met?

• A. Only record complete attainment.
• B. Record partial attainment, note contributing factors, outline revised interventions and a new target date.
• C. Record only the final numeric value.
• D. Delete the goal from the record.

Answer: (B)

When documenting progress toward a goal, you should capture what was achieved, what influenced the outcome, and how the plan will move forward. If a goal is partially met, recording that partial attainment along with the contributing factors provides a complete picture of progress and barriers. It helps the care team understand what worked, what didn’t, and why, so they can adjust interventions accordingly. Including a revised plan and a new target date keeps the care plan dynamic and focused, guiding future efforts and enabling effective evaluation. Recording only the final numeric value misses important context about progress and obstacles, and deleting the goal removes a valuable part of the patient’s care history.

When documenting progress toward a goal, you should capture what was achieved, what influenced the outcome, and how the plan will move forward. If a goal is partially met, recording that partial attainment along with the contributing factors provides a complete picture of progress and barriers. It helps the care team understand what worked, what didn’t, and why, so they can adjust interventions accordingly. Including a revised plan and a new target date keeps the care plan dynamic and focused, guiding future efforts and enabling effective evaluation.

Recording only the final numeric value misses important context about progress and obstacles, and deleting the goal removes a valuable part of the patient’s care history.