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10 Cards in this Set

  • Front
  • Back
What are the purposes of a medical record?
legal documentation that care was provided (if it’s not written down, you didn’t do it)
communication to other members of the health care team
documentation for reimbursement
important info → allergies
What is the ADIME method?
Assessment (subjective and objective)
Nutrition Diagnosis
Intervention (goals, plan, treatment, education, counseling, care management)
Monitoring and Evaluation
What is SOAP format?
Subjective (things you see or hear)
Objective (things you measure)
Assessment
Plan
What is DAR format?
Diagnosis
Assessment
Recommendations
What is HOAP format?
History
Objective
Assessment
Plan
What is APIE format?
Assessment
Plan/problem
Intervention
Evaluation
What are the phases that characterize the body's response to critical illness, injury and sepsis.
ebb and flow phases
A tunneled catheter would be used for
long term IV feedings
In cyclic infusion of TPN, the person is fed every other day.
False, everyday
Which of the following is a metabolic difference between the stress response and starvation?
In Metabolic stress, the body uses a mixed fuel