Nudge for Clinical & Therapy

Keep exercise sequences, speech prompts, and session structures visible during sessions. No paper. No tabbing. Persistent until done.

The problem with sessions and paper notes

You're mid-session with a patient. The next exercise in the sequence is on a printed sheet — but it's out of reach, or crumpled, or out of order. You glance down at your notes. The patient notices. The moment shifts.

Clinical work demands presence. Speech therapy, physical therapy, counseling — every session runs on a sequence. Lose your place and you lose momentum. Paper gets disorganized. Tabbing between windows looks unprofessional. You need prompts visible to you, not the patient.

Nudge floats your session plan on screen. Exercise sequences. Speech prompts. Assessment checklists. Always there. Never distracting.

How clinicians use Nudge

Therapy exercise sequences

Number each exercise in order. "1. Breathing warmup. 2. Word recall drill. 3. Conversation practice." Nudge advances to the next exercise with a keyboard shortcut. No paper. No searching.

Speech and language prompts

Keep articulation prompts, vocabulary targets, and conversation starters as bullet points. Reference them during the session. The patient focuses on the exercise, not your notes.

Assessment checklist

Standardize intake evaluations. Every item is a checkbox. ROM assessment. Pain scale. Functional test. Nothing skipped. Nothing double-entered. Complete as you go.

Session structure

Template every session type. Initial eval. Follow-up. Discharge. Each has its own .md file. Open the right one. Follow the sequence. Notes and observations go in the same file.

Why Nudge fits a clinical workflow

Persistent on screen. Nudge doesn't minimize or time out. Your current exercise stays visible for the entire session. No screensaver interrupting the flow.

Auto-hide reduces visual noise. Between exercises, Nudge shrinks to 6 px. Hover to reveal the next step. The focus stays on the patient.

Local .md file. No HIPAA cloud concerns. Patient notes, exercise logs, session observations — everything stays in a local file on your machine. No server. No cloud. No compliance headache.

Clean, minimal interface. No toolbars. No notifications. No popups. Just the current task on a dark glass surface. Designed to reduce cognitive load for the clinician, not add to it.

Keyboard-driven navigation. Ctrl+Alt+Shift+N advances to the next exercise. No mouse. No trackpad. No looking away from the patient.

Sample therapy session file

# Session — Patient A (Aphasia)
## Session Plan
[ ] Breathing warmup — 2 min diaphragmatic
[ ] Word recall drill — picture cards: animals, food
[ ] Sentence completion — 8 prompts with visual cues
[ ] Conversation practice — 5 min: "Tell me about your weekend"
[ ] Category naming — 5 items each: kitchen, park, office
## Observations
* Word recall: 12/15 today (up from 9/15 last session)
* Sentence completion: 6/8 correct. Struggles with abstract verbs.
* Responds better to picture cues than verbal prompts.
* Shows frustration after 20 min — need more frequent breaks.
## Protocol
1. Present picture card — allow 10 sec response
2. If incorrect: give semantic cue ("it's an animal")
3. If still incorrect: give phonemic cue ("starts with D")
4. If no response after 15 sec: model word, move to next
5. Track correct/incorrect on scoring sheet
Reference: [Semantic Feature Analysis](https://aphasiology.pitt.edu/protocols/sfa)
Scoring: [Assessment Form](templates/word-recall-scores.pdf)
## Next Session
[ ] Introduce verb-noun matching exercise
[ ] Print new category card set — transportation, clothing

Keep your session plan visible. Focus on the patient, not your notes.

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$15 one-time. Free updates for life. No accounts.