Module 2: Weekly Clinical Log and Patient Narrative Note Assignment-Get Answer Now
Online Assignment
Link for Weekly log
https://nku.instructure.com/courses/51683/files/6768911?wrap=1
Patient Narrative Note.docx
Documentation Expectations:
You must complete the Weekly Clinical Log document every week, and submit the whole document every week.
You must take a screenshot showing your daily clinical hours from Medatrax each week and upload it to Canvas.
You must complete and upload a patient narrative note that includes the following each week (see template above).
Please read the grading rubric criteria for this assignment.
Weekly Patient Narrative Note:
Date Patient Seen
Chief Complaint
History of Present Illness
Mental Status Exam- Include all aspects of a MSE along with justification for findings. Do not use a template where you just check off the different components of MSE.
Diagnoses (established in this treatment course or new for today’s visit) with ICD-10 code for each
Signs & Symptoms that support the diagnoses (This is medical Decision-Making)
Medication with dose and frequency along with indication for treatment. The diagnoses and medication should be reflective.
Client progress to date if previously treated & on a current treatment plan (write n/a if this is first-ever treatment)
Patient’s stated goals.
Teaching goals and self-help strategies along with the content of instruction.
What changes to the treatment plan (if any) are needed at this time?
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