Diagnosis, Treatment and Therapy
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Diagnoses (diagnosis, Dx) - | the act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient history, examination, and review of laboratory data.
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| Treatment (Tx)- | the active manner of treating a patient medically or surgically.
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| Empiric treatment- | medical treatment that is given on the basis of the provider’s observations and experience
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| Prophylactic treatment (prophylaxis)- | a measure taken to maintain health and prevent the spread of disease. “preventive treatment of disease”
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| Active treatment- | treatment directed immediately to the cure of the disease or injury
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| Therapy- | is the attempted remediation of a health problem, usually following a diagnosis. It’s synonymous with treatment in the medical field
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| H&P = | History and Physical
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| HEENT = | head, eyes, ears, nose, throat
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| SOAP- | acronym for subjective data, objective data, assessment, plan (the way progress notes are organized)
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| Home Medication(s) = | medication(s) patient take at home
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| Active Inpatient Medication(s)– | medication(s) patient is prescribed during hospital stay
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| MAR = | Medication Administration Record
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| EMAR = | Electronic Medication Administration Record
CCHS EMAR is located in Power Chart
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Created by:
wallace263
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