Think of it as a quick, targeted intervention that doesn’t fit into the regular care plan. It’s not for routine stuff; it's for those unexpected bumps in the road.
Read MoreTherapists must be able to paint a clear picture of the patient's abilities, limitations, and how these impact their daily life. Here are some specific tips to help you write effective functional assessments.
Read MoreIt is the practice of completing notes and charting while you are still in the patient's home. This doesn't mean ignoring the patient or their family; it means using the natural pauses and transitions within a visit to your advantage.
Read MoreProperly documenting medication and health teaching is vital. It creates a clear record of the patient’s understanding and ability to manage their health, justifies services for reimbursement, and, most importantly, reduces the risk of adverse events.
Read MoreHome health visit notes often lack the objective detail needed to truly demonstrate skilled care and patient progress. Avoid vague terms like "tolerated well" or "wound healing."
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