Mary loved her job as a recreational therapist in a skilled nursing facility. Her co-workers marveled at her ability to assess the needs of residents and propose exactly the right activity for a patient recovering from a brain injury, stroke or other trauma. Her 30-plus years of experience in all manner of expressive arts therapies helped her serve her patients well. She worked efficiently and effectively with quiet compassion.
And then came the inevitable hours of paperwork. For Mary, writing long detailed notes in medical charts was a normal part of her day. But, she wasn’t as speedy as she had been in the past and documentation requirements were increasing. While a physicians’ notes are usually transcribed from a dictated recording, medical support staff still struggle through pages of writing by hand in many facilities. Her immediate supervisor, fifteen years her junior, pushed her to speed up. Mary felt stressed and unable to cope with the continuing pressure. After starting to dread her job and feeling like she was getting worse instead of better, she applied for and received a medical leave of absence. Was this the best solution for Mary and her employer? Probably not.









