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Date:___ Page 3 of 4Initial Plan of Care First Name: ___ Last Name: ___ Current Status:Active Problems Identified Via Initial Assessment 1 Alteration in physical comfort r/t11 Alteration in communication
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How to fill out initial plan of care

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How to fill out initial plan of care

01
Review the patient's medical history and current health condition.
02
Identify the patient's goals and preferences for their care.
03
Consult with the patient's healthcare team to gather all relevant information.
04
Create a detailed plan outlining specific interventions, treatments, and goals for the patient's care.
05
Document the plan thoroughly in the patient's medical records.

Who needs initial plan of care?

01
Patients who are starting a new healthcare treatment or intervention.
02
Patients who have complex medical conditions that require coordinated care.
03
Patients who are transitioning from one level of care to another (e.g. hospital to home care).
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The initial plan of care is a detailed outline of the proposed treatment and services for a patient upon admission to a healthcare facility.
The healthcare provider or facility admitting the patient is required to file the initial plan of care.
The initial plan of care should be filled out by the healthcare provider or facility following the guidelines and requirements set by the regulatory bodies.
The purpose of the initial plan of care is to establish a comprehensive roadmap for the patient's treatment and care during their stay in the facility.
The initial plan of care must include the patient's medical history, diagnosis, prescribed treatment, medication, special care needs, and goals of treatment.
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