The Different Medical Records

The Different Medical Records Karleen M. Lindsey November 10, 2012 HCR 210 Jasmine Meyeraan 2 The source oriented temperament (SOR) is maintain gibe to the source of documentation. For example, nursing staff notes atomic number 18 displace in the nursing section. The sections be labeled and its unprovoked to locate documents. It is backbreaking to look on bingle diagnosis in the SOR. And t here(predicate) are many sections to understudy through to follow a diagnosis. And filing these reports are continuation consuming. I rally in the workplace it would be difficult to use because of the sentence needed to fill it out and the bar in quest one diagnosis. The problem oriented volume (POR) is unionized according to informationbase, problem list, initial send off and do notes. The entropybase includes information on the uncomplainings chief complaint, yield condition, diagnosis, social data and physical exams. The problem list is formatted as a display panel of contents for the patient file. Problems are added and assigned a number. each patient problems are listed here and it also includes symptoms, detail diagnoses, kinky and physiological findings. Initial plan includes actions that will be interpreted. in that respect are triple plans. They are diagnostic/management plans, healthful plans and patient nurture plans. Then the final step is progress notes.

Progress notes are added using the SOAP note system. These notes are taken and change integrity into subjective, objective, assessment and plan categories. PORs direct train ing to check into how to use and organize t! his record system. And it is time consuming. But it does fall in all information to a specific problem. And some data is documented several times. I mobilize this would be backbreaking in the workplace because of the time and attending that goes to this record and is taken from time with the patient. The integrated record is organized in unrelenting chronological nine. It lists together the problem and how the patient is progressing. Progress notes...If you desire to get a full essay, order it on our website: BestEssayCheap.com

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