7/25/2019 Template for Handout for Oral Process

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Template for handout for oral process

Pt demographics (age, sex, ethnicity)

Admit date

Dates of careCode status

Allergies

Admitting diagnosis

History of present illness (why did the client seek care !nclude

e"ents that led to the admission)

Past medical history

Pathophysiology (relate two disease processes)

#edications (P$, !%, and P&')as (pertinent to disease and patho)

Diagnostic tests (*+, -&A., CT, etc)

/ocused assessment

Plan of care

!nclude the concerns you had for the client prior to care

0hat you actually did

0hat changes you would ha"e made

112umit a condensed (3 page only may e front and ack)

handout to gi"e to each student and the instructor4 !nstructor will

also need a copy of your concept maps and grading sheet for each

student4

.ou will e telling the story of your client4 *ssentially, you will

co"er all aspects of the written process only in "eral format4