1. Pt will increase physical activity
 The client will walk in nature voluntarily at least for 30 minutes by the end of session
second.
 The client will choose to participate in a kayaking class 3 out of the 5 times it is
offered by the end of the fourth session.
PROGRESS NOTE
PtPt did not complete objective 1a. because Pt only voluntarily went to two out of the five
kayaking classes. The TRS asked the participant why they only went to two out of the five
kayaking sessions offered. The Pt answered with “It was too painful to participate in kayaking”.
Pt needs to work on their coping skills. TRS recommends more sessions of pain management so
Pt can better manage their pain so Pt can participate in physical activity.
CTRS Natalie Smith 11/16/22