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OpenNotes (the organization) OpenNotes is a research initiative and international movement located at Beth Israel Deaconess Medical Center (affiliated with Harvard Medical School), that focuses on making health care more open and transparent by encouraging doctors, nurses, therapists, and other health care professionals to share clinical visit notes with patients, facilitating patients' legal ...
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 workflow ...
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.
Writing therapy. Writing therapy; relieving tension and emotion, establishing self-control and understanding the situation after words are transmitted on paper. Writing therapy [1] [2] is a form of expressive therapy that uses the act of writing and processing the written word in clinical interventions for healing and personal growth. [3]
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of deleterious mental conditions. [1] [2] These include various matters related to mood, behaviour, cognition, perceptions, and emotions.
Cognitive behavioral therapy ( CBT) is a psycho-social intervention [1] [2] that aims to reduce symptoms of various mental health conditions, primarily depression and anxiety disorders. [3] Cognitive behavioral therapy is one of the most effective means of treatment for substance abuse and co-occurring mental health disorders. [4]
In the US, this doctrine places a legal obligation on a doctor to make a patient aware of the reason for treatment, the risks and benefits of a proposed treatment, the risks and benefits of alternative treatment, and the risks and benefits of receiving no treatment. The patient is then given the opportunity to accept or reject the treatment.
Narrative therapy (or narrative practice) [1] is a form of psychotherapy that seeks to help patients identify their values and the skills associated with them. It provides the patient with knowledge of their ability to live these values so they can effectively confront current and future problems. The therapist seeks to help the patient co ...
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