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