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SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [1] [2] Documenting patient encounters in the medical record is an integral part of practice ...
Patient Health Questionnaire-9 (PHQ-9) The Patient Health Questionnaire-9 (PHQ-9) is a widely used self-reported assessment designed to detect the presence and severity of depression.
1 min read. The Global Assessment of Functioning, or GAF, scale is used to rate how serious a mental illness may be. It measures how much a person's symptoms affect their day-to-day life on a ...
The nine-item Patient Health Questionnaire ( PHQ-9) is a depressive symptom scale and diagnostic tool introduced in 2001 to screen adult patients in primary care settings. The instrument assesses for the presence and severity of depressive symptoms and a possible depressive disorder. [1] [2] [3] The PHQ-9 is a component of the larger self ...
Nursing assessment is the gathering of information about a patient 's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.
In some cases, another person can sign a consent form for you. This is appropriate in the following scenarios: You aren’t of legal age. In most states, if you’re younger than 18, a parent or ...
Cognitive evaluation. During the assessment, your doctor will gauge your ability to think clearly, recall information, and use mental reasoning. You may take tests of basic tasks, like focusing ...
Procedure. Follow-up. A physical examination is a routine test your primary care provider (PCP) performs to check your overall health. It’s also known as a wellness check. You don’t have to be ...