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Patient Visit Notes
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Book Synopsis Writing Patient/Client Notes by : Ginge Kettenbach
Download or read book Writing Patient/Client Notes written by Ginge Kettenbach and published by F.A. Davis. This book was released on 2016-05-11 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop all of the skills you need to write clear, concise, and defensible patient/client care notes using a variety of tools, including SOAP notes. This is the ideal resource for any health care professional needing to learn or improve their skills—with simple, straight forward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management and WHO’s ICF model.
Author :Agency for Healthcare Research and Quality/AHRQ Publisher :Government Printing Office ISBN 13 :1587634333 Total Pages :396 pages Book Rating :4.5/5 (876 download)
Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Book Synopsis The Patient Will See You Now by : Eric Topol
Download or read book The Patient Will See You Now written by Eric Topol and published by . This book was released on 2015-01-06 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: A revolutionary argument for how putting patients in charge will make healthcare better for everyone
Book Synopsis Patient Visit Notes by : Derek Flores
Download or read book Patient Visit Notes written by Derek Flores and published by . This book was released on 2019-02-12 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completing your charting while in a patient's home is often not possible, so keeping organized and thorough notes for future use is important. This easy to use notebook prompts you to record VS, last BM, medication, new physician order information and even helps you keep track of your mileage for reimbursement. Created by Derek J. Flores R.N. for you!
Author :American Medical Association. Council on Ethical and Judicial Affairs Publisher :American Medical Association Press ISBN 13 : Total Pages :60 pages Book Rating :4.3/5 (91 download)
Book Synopsis Reports on Managed Care by : American Medical Association. Council on Ethical and Judicial Affairs
Download or read book Reports on Managed Care written by American Medical Association. Council on Ethical and Judicial Affairs and published by American Medical Association Press. This book was released on 1998 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ethics in the era of managed care This collection of AMA Council Reports from 1990 to 1997 examine a variety of ethical issues concerning managed care. Report topics include financial incentives to limit care, cost containment involving prescription drugs, restrictions on disclosure in managed care contracts, ethical issues in negotiating discounts for specialty care, capitation, and more. An analysis of current issues in medical ethics is also included.
Author :Committee on Improving the Patient Record Publisher :National Academies Press ISBN 13 :030957885X Total Pages :257 pages Book Rating :4.3/5 (95 download)
Book Synopsis The Computer-Based Patient Record by : Committee on Improving the Patient Record
Download or read book The Computer-Based Patient Record written by Committee on Improving the Patient Record and published by National Academies Press. This book was released on 1997-10-28 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.
Book Synopsis Patient Visit Notes by : Derek Flores
Download or read book Patient Visit Notes written by Derek Flores and published by . This book was released on 2020-01-30 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: As Hospice Nurses, we all know 'Bedside Charting' is optimal, but it's not always practical in the real, fast-paced world of Hospice Care. This notebook (6" x 9", 126 pages) will help you keep track of important patient visit info like VS, Last BM, MAC and it even helps you document your car mileage for each visit. Created by nationally known Hospice Nurse/Author/Speaker, Derek J. Flores, RN. It's a simple and easy way to stay organized. It's a great gift for a new or experienced Hospice Nurse.
Book Synopsis Facilitating Patient Understanding of Discharge Instructions by : Institute of Medicine
Download or read book Facilitating Patient Understanding of Discharge Instructions written by Institute of Medicine and published by National Academies Press. This book was released on 2014-12-01 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Roundtable on Health Literacy brings together leaders from academia, industry, government, foundations, and associations and representatives of patient and consumer interests who work to improve health literacy. To achieve its mission, the roundtable discusses challenges facing health literacy practice and research and identifies approaches to promote health literacy through mechanisms and partnerships in both the public and private sectors. To explore the aspects of health literacy that impact the ability of patients to understand and follow discharge instructions and to learn from examples of how discharge instructions can be written to improve patient understanding of-and hence compliance with-discharge instructions, the Roundtable on Health Literacy held a public workshop. The workshop featured presentations and discussions that examined the implications of health literacy for discharge instructions for both ambulatory and inpatient facilities. Facilitating Patient Understanding of Discharge Instructions summarizes the presentations and discussions of the workshop. This report gives an overview of the impact of discharge instructions on outcomes, and discusses the specifics of inpatient discharge summaries and outpatient after-visit summaries. The report also contains case studies illustrating different approaches to improving discharge instructions.
Book Synopsis Patient Visit Notes a Notebook for Hospice Nurses by : D. Pakis Publishing
Download or read book Patient Visit Notes a Notebook for Hospice Nurses written by D. Pakis Publishing and published by . This book was released on 2021-10-09 with total page 121 pages. Available in PDF, EPUB and Kindle. Book excerpt: WHAT YOU GET: This nice notebook will help you keep track of your important daily patient visits and to monitor important figures and health data's of your patients like last BM, MAC, Temperature, Weight and many other. It even helps you keep track of your car mileage for each visit. You can make special observations and make special notes for each of your beloved patients and to keep track of their medication. The medication list included in this Notebook will help you to organize this. In simple words: This notebook will help you to organize in a simple and efficient way all of your daily patient visits. For sure your patients will thank you for this.
Book Synopsis Home Health Nurse Notebook Patient Visit Notes by : Home Health Nurse Notebooks
Download or read book Home Health Nurse Notebook Patient Visit Notes written by Home Health Nurse Notebooks and published by . This book was released on 2019-07-03 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complete your charting at your patient's home and stay organized. EASY and CONVENIENT to use. 6x9 Inhces with 120 pages and Matte Finish.
Book Synopsis Home Health Nurse Patient Visit Notes by : M. R. N. Publishing
Download or read book Home Health Nurse Patient Visit Notes written by M. R. N. Publishing and published by . This book was released on 2021-07-06 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Visit Notes For Hospice Nurses Keeping concise and accurate notes is crucial for correct patient care, and legally required in the most situations. Although Bedside Charting is the generally preferred method of note taking for Hospice Nurses, you quickly realise that it is not always practical, given the hands-on, rapidly changing nature of Hospice Care. This book is designed to simplify the process of patient note taking, and contains all essential information for appropriate care. It's also a great resource that helps to compile all your records into one convenient location, which should be kept for a number of years should any legal situations arise. It was designed with consultation and guidance from Dr M. Smithe. It is designed specifically for Hospice and home care Nurses, and contains the following: Index page (Quick Recap of which patient is on each page and the date of visit. Patient Visit Logs, and Notes for each Patient (1 Double Page Spread per Visit) Blank Notes Pages at the end of the book Each Patient Note Spread Contains the following: Date Scheduled / PRN Start and Finish Time Patient Name Mileage start and finish (For traveling hospice workers) Patient Pain (1-10) and description Temperature Blood Pressure Respiratory rate Heart Rate SO2 O2 LPM Last BM Left and Right MAC Weight Family / Facility Updated (Yes / No) Next Visit Date Medication supply confirmed Lined notes (3⁄4 page per patient visit) Notes for next visit 6 x blank input columns for personal notetaking unique to each hospice nurse. Book Features: 131 Pages 6 x 9 inch - very convenient size Printed on white paper Perfect bound, softcover book
Book Synopsis The Medical Interview by : Mack Jr. Lipkin
Download or read book The Medical Interview written by Mack Jr. Lipkin and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 559 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary care medicine is the new frontier in medicine. Every nation in the world has recognized the necessity to deliver personal and primary care to its people. This includes first-contact care, care based in a posi tive and caring personal relationship, care by a single healthcare pro vider for the majority of the patient's problems, coordination of all care by the patient's personal provider, advocacy for the patient by the pro vider, the provision of preventive care and psychosocial care, as well as care for episodes of acute and chronic illness. These facets of care work most effectively when they are embedded in a coherent integrated approach. The support for primary care derives from several significant trends. First, technologically based care costs have rocketed beyond reason or availability, occurring in the face of exploding populations and diminish ing real resources in many parts of the world, even in the wealthier nations. Simultaneously, the primary care disciplines-general internal medicine and pediatrics and family medicine-have matured significantly.
Book Synopsis The Future of Nursing by : Institute of Medicine
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Book Synopsis Health Professions Education by : Institute of Medicine
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Book Synopsis The Patient's Medical Journal by : Sandra de Bruin
Download or read book The Patient's Medical Journal written by Sandra de Bruin and published by Skyhorse. This book was released on 2015-09-15 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: An easy way to keep track of your medical records for years to come. The Patient’s Medical Journal is a medical diary for patients and their families. It is designed to help patients remember and organize medical information about their and their family’s past and present health. The information, once recorded, will come in handy when filling out medical forms for doctors and hospitals. The book is divided into sections to record all pertinent information, such as: A personal medical directory for information about health providers and insurance companies Past surgeries Major illnesses Allergies Vaccinations Current medications Lab tests And family medical history Once you’ve recorded your past, there’s a new section where you can record information for your upcoming medical visits, the purposes for the visits, and the treatment plan you’ve outlined with your health-care professional. In no time at all, you can compile a compact diary of your medical history for convenient use in the future.
Book Synopsis Fast Facts for the Hospice Nurse by : Patricia Moyle Wright, PhD, MBA, MSN, CRNP, ACNS-BC, CHPN, CNE, FPCN
Download or read book Fast Facts for the Hospice Nurse written by Patricia Moyle Wright, PhD, MBA, MSN, CRNP, ACNS-BC, CHPN, CNE, FPCN and published by Springer Publishing Company. This book was released on 2017-01-28 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: An on-the-go reference for hospice nurses and those interested in end-of-life care, this practical guide covers the essential elements in the compassionate and holistic care of terminally ill patients and their families. Nurses care for patients facing end-of-life issues in every practice specialty and, as the U.S. population continues to age, the need for proficiency in end-of-life skills will become increasingly important. Fast Facts for the Hospice Nurse: A Concise Guide to End-of-Life Care is an invaluable resource that provides emotional, administrative, and palliative support, whether in a hospice, long-term care facility, or acute care setting. This vital go-to text clearly and concisely lays out not only how to care for patients facing end-of-life issues, but also how to engage in self-care and cope with occupational stress. Beginning with an overview of hospice care, including its history and philosophy, this book offers a timeline of the growth of the hospice movement in the United States. Subsequent sections include up-to-date information on the clinical responsibilities of the hospice nurse in addressing the physical, psychological, and spiritual needs of terminally ill patients and their families in a culturally sensitive way. This book also outlines the administrative duties of the hospice nurse, including hospice documentation, a review of hospice regulations, and quality management. The closing section focuses on occupational stress in hospice nursing and how to engage in self-care. This text can serve as a useful clinical resource and also as a reference for nurses seeking hospice certification from the Hospice and Palliative Credentialing Center. Key Features Organized within the context of the scope and standards of practice of the Hospice and Palliative Nurses Association. Addresses key points about issues unique to hospice nursing and highlights evidence-based interventions Addresses important Medicare regulations and reimbursement Offers numerous clinical resources to assist with hospice nursing practice Serves as a concise study resource for hospice nursing certification
Book Synopsis Home Health Nurse Patient Visit Notes by : M. R. N. Publishing
Download or read book Home Health Nurse Patient Visit Notes written by M. R. N. Publishing and published by . This book was released on 2021-07-06 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Visit Notes For Hospice Nurses Keeping concise and accurate notes is crucial for correct patient care, and legally required in the most situations. Although Bedside Charting is the generally preferred method of note taking for Hospice Nurses, you quickly realise that it is not always practical, given the hands-on, rapidly changing nature of Hospice Care. This book is designed to simplify the process of patient note taking, and contains all essential information for appropriate care. It's also a great resource that helps to compile all your records into one convenient location, which should be kept for a number of years should any legal situations arise. It was designed with consultation and guidance from Dr M. Smithe. It is designed specifically for Hospice and home care Nurses, and contains the following: Index page (Quick Recap of which patient is on each page and the date of visit. Patient Visit Logs, and Notes for each Patient (1 Double Page Spread per Visit) Blank Notes Pages at the end of the book Each Patient Note Spread Contains the following: Date Scheduled / PRN Start and Finish Time Patient Name Mileage start and finish (For traveling hospice workers) Patient Pain (1-10) and description Temperature Blood Pressure Respiratory rate Heart Rate SO2 O2 LPM Last BM Left and Right MAC Weight Family / Facility Updated (Yes / No) Next Visit Date Medication supply confirmed Lined notes (3⁄4 page per patient visit) Notes for next visit 6 x blank input columns for personal notetaking unique to each hospice nurse. Book Features: 131 Pages 6 x 9 inch - very convenient size Printed on white paper Perfect bound, softcover book
