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The operative report is dictated right after a surgical procedure and later transcribed into the patient's record. The operative report includes preoperative and postoperative diagnoses, patient condition after surgery, all medications used in association with the procedure, pertinent medical history (Hx) , physical examination (PE), consent ...
The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.
A kardex (plural kardexes) is a genericised trademark for a medication administration record. [2] The term is common in Ireland and the United Kingdom.In the Philippines, the term is used to refer the old census charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...
Medical-surgical nursing is a nursing specialty area concerned with the care of adult patients in a broad range of settings. Traditionally, medical-surgical nursing was an entry-level position that most nurses viewed as a stepping stone to specialty areas.
In July 1920, the first issue of Archives of Surgery was published by the American Medical Association.William J. Mayo, MD, who was a member of the editorial board and authored the inaugural editorial, indicated that Archives of Surgery would follow the character and scope of its sister journals, Archives of Internal Medicine, Archives of Neurology and Psychiatry, and the American Journal of ...
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The medical history, case history, or anamnesis (from Greek: ἀνά, aná, "open", and μνήσις, mnesis, "memory") of a patient is a set of information the physicians collect over medical interviews.
Glute exercises get all the attention for helping you achieve, uh, a perky bum. But glute stretches are just as important; they’re crucial for staying mobile and doing regular, daily movements ...