Get the free Daily Progress Notes ST Swallow.pdf - The Weston Group, Inc.
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DAILY SPEECH THERAPY SWALLOW FLYSHEET Date : Swallow therapy; diet×liquid diet, swallow reflex, compensation tech. Compensation tech.×strategies Therapeutic exercise×activity Safety awareness /
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How to fill out daily progress notes st
How to fill out daily progress notes:
01
Start by documenting the date and time of the progress note.
02
Mention the patient's name, identification number, and any other relevant identifiers.
03
Begin with a brief summary of the patient's condition or progress since the last note.
04
Include any notable changes in the patient's physical or mental health, including symptoms, vital signs, and overall well-being.
05
Detail any treatments or interventions provided to the patient, including medications administered, therapies given, or procedures performed.
06
Note any observations or assessments made during the day, such as any side effects experienced, improvements or regressions in symptoms, or changes in behavior.
07
Document any conversations or interactions with the patient, their family, or other healthcare professionals, noting any concerns, questions, or plans discussed.
08
Include any relevant test results or laboratory findings that may impact the patient's progress or treatment plan.
09
Summarize the patient's response to the treatments, interventions, or changes in care, including any improvements or decline in their condition.
10
Finally, outline any follow-up actions, recommendations, or changes in the patient's care plan that need to be implemented.
Who needs daily progress notes:
01
Physicians: Daily progress notes provide an essential reference for physicians to monitor their patients' progress, make informed decisions about their care, and collaborate with other healthcare professionals.
02
Nurses: Daily progress notes help nurses track the changes in their patients' conditions, administer appropriate treatments, and communicate the patient's status to the rest of the healthcare team.
03
Other healthcare professionals: Daily progress notes are valuable for specialists, therapists, and other healthcare professionals involved in a patient's care to understand the ongoing progress, adjust treatment plans, and ensure coordinated care.
04
Patients and their families: Daily progress notes can also be shared with patients and their families to keep them informed about the patient's condition, treatment progress, and any concerns or questions they may have.
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