Which approach to functional outcome measurement best reflects client-centered care in distal radius fracture management?

• A. Continuously updated range of motion measurements, to facilitate functional return
• B. Documentation of quantitative and qualitative data in the medical record, to facilitate the OTR's assessment of the clinical outcomes
• C. Standardized assessment data within the medical record, to guarantee payment by third-party payers
• D. The Disabilities of the Arm, Shoulder and Hand (DASH) measure, to collect occupational profile data

Answer: (B)

Client-centered care centers on outcomes that matter to the person with the injury—their daily function, goals, and experience of recovery. In distal radius fracture management, the best way to reflect that approach is to document both objective performance data and the client’s subjective experiences in the medical record. Recording quantitative data (like range of motion, strength, and grip) shows concrete change in function, but pairing that with qualitative information (the client’s daily task challenges, pain during activities, priorities for returning to work or hobbies, and overall satisfaction with progress) ties the outcomes to what the client values. This combination supports collaborative goal setting, guides individualized treatment planning, and demonstrates progress in terms that matter to the client, not just impairment metrics.

Relying solely on continuous ROM data focuses mostly on impairment and may overlook meaningful participation. Relying on standardized data for payer purposes can shift attention away from the client’s priorities. Using a single standardized measure, like the DASH, is useful but may not capture the full, nuanced picture of the client’s daily life and personal goals. The strongest approach is integrated documentation of both quantitative performance and qualitative, client-reported experiences to truly reflect client-centered care.