ADLs

First I just need to blow my stack that no matter how much I instruct and educate the Unit Assistants on ADL documentation, they still either don't get it or don't care to get it. No matter how much I complain to the Nursing Director about it, either she too doesn't get the importance of it, or she doesn't want to!

That being said, Mrs. X was admitted to our facility for rehab after a total knee arthroplasty. She was in our facility 7 days and had 8 different UA's assigned to her. Of that 8, only 2 actually documented ADLs. "Bob" is one of the night UAs and had her 2 nights. His documentation is pretty accurate, and coincides with the Nurses and Therapists documentation. "Sherry" is one of the day UAs who had her for 3 days, and her documentation is rarely ever accurate. She often combines self performance and support in ways that are not even logical, such as independent and 2 person physical assist, so most of the time I cant use any of her documentation. I have instructed her and reinstructed her until I am blue in the face, and it doesn't seem to sink in with her.

My problem is that there were only five entries for ADLs, and only 2 of those 5 entries could be used. Technically there were more than 3 episodes ADL documentation, but I don't feel comfortable submitting what there is since I know it isn't accurate. Has anyone else ever experienced this, and if so, how did you handle it?