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A1 Shared Care Plan Shared followup care for early breast cancer After treatment, it is important to have followup visits to check whether breast cancer or DCI has come back, to monitor side effects
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How to fill out shared follow-up care for:

01
Start by gathering all relevant medical information about the patient, including their medical history, recent treatments, and any ongoing health issues.
02
Consult with the patient's primary healthcare provider to discuss the need for shared follow-up care and to determine the appropriate course of action.
03
Create a comprehensive care plan that outlines the specific goals, objectives, and interventions that will be implemented during the follow-up care period.
04
Clearly communicate the care plan to all relevant healthcare providers, ensuring that everyone involved is aware of their responsibilities and the timeline for follow-up care.
05
Monitor the patient's progress regularly and make any necessary adjustments to the care plan based on their changing needs and condition.
06
Coordinate with other healthcare providers involved in the patient's care, such as specialists or therapists, to ensure that all aspects of their treatment are addressed during the follow-up care.
07
Keep accurate and up-to-date records of all follow-up care provided, including any medication changes, test results, and patient feedback.
08
Continuously evaluate the effectiveness of the shared follow-up care and make changes as needed to optimize the patient's outcomes.

Who needs shared follow-up care for:

01
Patients with chronic or complex health conditions that require ongoing management and monitoring.
02
Individuals who have recently undergone a significant medical procedure or surgery and require follow-up care for proper healing and recovery.
03
Patients transitioning from the hospital to home or a rehabilitation facility, to ensure a smooth transition and prevent complications.
04
Individuals with mental health conditions who require ongoing therapy, medication management, and support to maintain their well-being.
05
Older adults who may have multiple chronic conditions and need coordinated care to manage their overall health and well-being.
06
Patients with disabilities or special needs who may require multidisciplinary support and care coordination for their specific requirements.
07
Individuals with a history of substance abuse or addiction who require ongoing monitoring and support to prevent relapse and promote recovery.
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Shared follow-up care is for coordinating and managing the care of a patient among multiple healthcare providers.
Healthcare providers involved in the care of a patient are required to file shared follow-up care.
Shared follow-up care can be filled out by documenting the patient's medical history, treatment plans, and progress notes.
The purpose of shared follow-up care is to ensure continuity of care and to facilitate collaboration among healthcare providers.
Information such as medications, allergies, test results, and treatment plans must be reported on shared follow-up care.
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