Download e-book for kindle: Clinical Practice Guidelines for Midwifery & Womens Health by Nell Tharpe

By Nell Tharpe

ISBN-10: 0763738220

ISBN-13: 9780763738228

ISBN-10: 143560329X

ISBN-13: 9781435603295

This article provides A Compilation Of present Practices that incorporates Evidence-Based, conventional, And Empiric Care From a large choice Of assets. every one guide strikes via challenge id And therapy utilizing A Standardized layout For day by day scientific perform With varied Populations. the ideas Are at the moment In Use by way of Many Practices As a manner Of assembly the yank collage Of Nurse Midwives (ACNM) ideas, And Are appropriate For Collaborative perform With medical professional Colleagues.

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Additional resources for Clinical Practice Guidelines for Midwifery & Womens Health 2006-2009

Sample text

Return to office (RTO) in a specified amount of time is recorded when a problem-oriented approach to unresolved problems from previous visits is documented in subsequent visit notes. at time of visit or following consultation, laboratory, or other diagnostic reports. • Follow-up is documented for clients who require periodic visits for a chronic illness and for clients who require reassessment following an episodic illness. • Client participation in the coordination of care is demonstrated through client education, follow-up, and return visits.

Examples of patient noncompliance are documented. 20. Screening and preventive care practices are in accordance with current recommendations, such as ACNM, ACOG, ASCCP, ACS, MANA, etc. • Each record includes documentation that preventive services 21. An immunization record is completed for members 18 years and under. • The record includes documentation of immunizations were ordered and performed, or that the practitioner discussed preventive services with the client, and the client chose to defer or refuse them.

The detailed visit adds pertinent history related to the reason for the encounter, and a thorough examination of the affected area and related organ systems. The comprehensive visit adds a complete review of systems, comprehensive review of the client history and risk assessment, as well as either a comprehensive physical exam or thorough examination of a single organ system. The complexity of medical decision making required is based on the complexity of reaching a diagnosis and/or formulation a management plan.

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Clinical Practice Guidelines for Midwifery & Womens Health 2006-2009 by Nell Tharpe

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