Difference between revisions of "Additional Text Template Samples"
| Line 1: | Line 1: | ||
__TOC__ | __TOC__ | ||
| − | '''Female Text Template Sample for Plan or Discussion Summary Section of Note''' | + | |
| + | == '''Female Text Template Sample for Plan or Discussion Summary Section of Note''' == | ||
{{{Treat with [ ] abx for [ ] days.}}}<br> | {{{Treat with [ ] abx for [ ] days.}}}<br> | ||
| Line 14: | Line 15: | ||
{{{[ Pelvic U/S ordered ]}}}<br> | {{{[ Pelvic U/S ordered ]}}}<br> | ||
| − | '''Acute Text Template Sample for Plan or Discussion Summary''' | + | |
| + | == '''Acute Text Template Sample for Plan or Discussion Summary''' == | ||
{{{[ Symptomatic treatment. ]}}}<br> | {{{[ Symptomatic treatment. ]}}}<br> | ||
| Line 34: | Line 36: | ||
| − | '''Health Maintenance Text Template for Plan or Discussion Summary Sections of Note''' | + | |
| + | == '''Health Maintenance Text Template for Plan or Discussion Summary Sections of Note''' == | ||
{{{Greater than 50% of [ ] minute visit spent counseling. }}}<br> | {{{Greater than 50% of [ ] minute visit spent counseling. }}}<br> | ||
Latest revision as of 13:48, 11 April 2018
Female Text Template Sample for Plan or Discussion Summary Section of Note
{{{Treat with [ ] abx for [ ] days.}}}
{{{[ Precautions re: worsening pain, fever/chills and systematic symptoms given. ]}}}
{{{[ Vaginitis panel sent. ]}}}
{{{Pregnancy test was [ pos ][ neg ].}}}
{{{[ Trial of OCPs/hormonal therapy. ]}}}
{{{[ Probiotics recommended. ]}}}
{{{[ Pap smear sent. ]}}}
{{{[ Discussed birth control/STD transmission and prevention. ]}}}
{{{[ Risks, benefits and alternatives to hormonal tx reviewed with ~Mr/Ms Ln~. Understands there is an increased risk of blots and a small increase in MI and stroke risk. ]}}}
{{{[ Pelvic U/S ordered ]}}}
Acute Text Template Sample for Plan or Discussion Summary
{{{[ Symptomatic treatment. ]}}}
{{{[ Saline nasal irrigation. ]}}}
{{{Antibiotic [ ] for [ ] days.}}}
{{{No Work for ][ ] days.}}}
{{{ [ Patient advised to return to clinic if not improving or if worsening. ] }}}
{{{ [ Risks, benefits and alternatives to treatment discussed. ] }}}
{{{ [ Med dosing, expectations and common side effects reviewed. ] }}}
{{{Greater than 50% of [ ] minute visit spent counseling. }}}
{{{ [ Diet and exercise tips reviewed. ] }}}
{{{[ Smoking cessation discussed. ]}}}
{{{ [ Weight loss encouraged. ] }}}
{{{[ Preventive health topics including self breast exam, skin cancer prevention and detection, calcium and vitamin D requirements discussed with patient. ]}}}
{{{[ Patient educated and questions answered. ]}}}
{{{[ Informational handout provided. ]}}}
{{{[ Advised fluids, rest, anti-inflammatory/Tylenol and ice/heat as needed. ]}}}
{{{Pt to use [ Ibuprofen ][ Naprosyn ][ Tylenol ][ Guaifenesin ][ Decongestant ][ Antihistamine ][ H2 Blocker ][ PPI ]for symptomatic treatment.}}}
Health Maintenance Text Template for Plan or Discussion Summary Sections of Note
{{{Greater than 50% of [ ] minute visit spent counseling. }}}
{{{[ New West Physicians "Living Longer and Healthier" handout given to patient ]}}}
{{{[ Diet and exercise tips reviewed. ] }}}
{{{[ Smoking cessation discussed. ]}}}
{{{[ Weight loss encouraged. ] }}}
{{{Discussed preventive health topics including:[ Self breast exam ][ Skin cancer prevention and detection ][ Colon cancer screening ][ Calcium and vitamin D requirements ][ PSA Testing ]}}}
{{{[ Patient educated and questions answered. ]}}}
{{{ Recommended: [ Calcium ][ Vitamin D ][ Omega 3 fish oil ][ Multivitamin ][ Regular exercise ][ Weight loss ][ Low fat high-fiber diet ][ Low sodium diet ][ Home blood pressure monitoring ][ Stress reduction ][ Self-breast exam, ][ Self testicular exam ][ Yearly skin check ][ Monitoring of nevi ]
}}}
{{{Follow up in [ 1 month ][ 3 months ][ 6 months ][ 1 year ]}}}