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PROBLEM-ORIENTED MEDICAL RECORD (POMR)
B. The Problem List must include all abnormalities noted in the initial data base. Again, each abnormality need not be separately recorded (see above example). C. The Problem List is refined as problems are either resolved or further defined. 1. Example--Problem Resolved: A patient is admitted with a fever and cough productive of a yellow
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Neurologic Exam Evaluation Checklist
www.stritch.luc.eduJul 22, 2004 · 12. Examiner assesses sternocleidomastoid muscles (CN11, Spinal Accessory Nerve). Examiner asks patient to turn the head to each side against resistance from the examiner’s hand. As the patient attempts to turn the head to each side, examiner observes the strength of the contraction of the OPPOSITE sternocleidomastoid muscle.
SAMPLE BIOPSYCHOSOCIAL PROJECT Clinical data of …
www.stritch.luc.eduMrs. C is a proud member of an Episcopal church on Chicago’s west side. She has sang in the choir since 1999 and is heavily involved in the church community. Mrs. C calls on her support system through church and her faith in God to help her survive difficult times.
MECHANICAL VENTILATION IN THE NEONATE
www.stritch.luc.eduProphylactic: In animal experiments HFOV causes less lung injury than conventional ventilation. Principles of HFOV The use of high frequency ventilation at low tidal volumes allows the primary goals of ventilation, oxygenation and CO2 removal, to be achieved without the costs of pressure-induced lung injury.
The Ob-Gyn Clerkship: Your Guide to Success
www.stritch.luc.edu• Rhogam, if Rh-negative • Discharge and follow-up plan • Patients usually go home if uncomplicated 24-48 hours postpartum • Follow-up appointment scheduled in 2-6 weeks postpartum 4b. Sample Postoperative Cesarean Section Orders/Note Sample C/S Orders Admit to Recovery Room, then postpartum floor
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