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SupportNotes

Aged Care Progress Note Generator

Turn rough notes into clear, person-centred aged care progress notes — for personal care, mobility, mealtimes and daily living.

Free · no card needed · stays in Australia · you check the final note before submitting.

From a rough note to a clear one

Rough note

helped mr roberts shower with standby assist slow on feet today ate most of lunch watched tv in lounge

Clearer note

Mr Roberts required standby assistance for his shower this morning; he was moving more slowly than his usual baseline and required additional time to complete the task safely. He declined no steps of his personal care routine and cooperated throughout. At lunchtime, Mr Roberts consumed approximately three-quarters of his meal and declined dessert, stating he was full. He spent the afternoon in the lounge area watching television, appearing relaxed and content. No falls, behaviours of concern, or pain indicators were observed during this shift.

A person-centred progress note records what actually happened in the person's day, supports continuity of care, and gives clinicians and coordinators the information they need to identify any changes over time.

What to include

  • The person's name and the type of support or activity being documented
  • Level of assistance provided — fully assisted, standby, prompting only, or independent
  • How the person responded — cooperative, reluctant, distressed, or content
  • Approximate food and fluid intake if relevant to the care plan
  • Any change from the person's usual presentation, however minor

What not to write

  • Task-focused language that removes the person from their own note (e.g. 'showered, fed, toileted')
  • Clinical terms you are not qualified to use — describe what you observed in plain language
  • Leaving out positive observations — documenting that someone had a good day is meaningful too
  • Unverified assumptions about pain, mood, or cognition — note behaviours you observed, not what you think they mean

When this may need escalation

Report to the nurse in charge or on-call coordinator promptly if you observe:

SupportNotes helps you write clearer, more objective drafts. It is not the NDIS, not legal advice, and not a substitute for incident reporting. You remain responsible for accuracy and for lodging any reportable incident with the NDIS Quality & Safeguards Commission.

Free

  • Generate unlimited notes
  • Every note style (shift, progress, SOAP, ISBAR, incident)
  • Objective-language quick check
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  • Full Audit Check
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  • Export PDF & build audit packs
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FAQ

How detailed does a daily progress note need to be?
It depends on your organisation's documentation policy and the person's care plan. At a minimum, record the support provided, how the person responded, and any changes from their usual presentation. Brief and factual is better than long and vague.
Should I note it if a resident refuses care?
Yes — always document a refusal respectfully and factually. For example: 'Mr Roberts declined his shower this morning; no distress observed. Informed shift supervisor.' This protects both the resident and you, and supports the care team to follow up appropriately.
What counts as a 'change from baseline' that I should flag?
Anything noticeably different from the person's usual pattern — moving more slowly, eating less, seeming quieter or more withdrawn, or expressing discomfort they do not usually report. You do not need to interpret what it means; simply document what you observed and let the nurse or care coordinator assess further.