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  2. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    Progress Notes are the part of a medical record where healthcare professionals record details to document a patient 's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review.

  3. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [1][2] Documenting patient encounters in the medical record is an integral part of practice ...

  4. Physician Orders for Life-Sustaining Treatment - Wikipedia

    en.wikipedia.org/wiki/Physician_Orders_for_Life...

    The POLST form is usually on brightly colored paper that contains options for the individual depending on their health status. The POLST form generally has sections for the individual to decide whether or not they would want cardiopulmonary resuscitation (CPR), the preferred level of medical interventions, or whether they would want artificially administered nutrition.

  5. Advance healthcare directive - Wikipedia

    en.wikipedia.org/wiki/Advance_healthcare_directive

    v. t. e. An advance healthcare directive, also known as living will, personal directive, advance directive, medical directive or advance decision, is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves because of illness or incapacity. In the U.S ...

  6. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...

  7. IUD Insertion Doesn't Need to be Painful. Here’s What Your ...

    www.aol.com/iud-insertion-doesnt-painful-doctor...

    Another issue may be a stark disconnect between providers’ and patients’ perceptions of pain: In an earlier study in 2014 of 200 women, patients rated the average maximum pain of their IUD ...

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