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DX, Treatment
Diagnosis, Treatment and Therapy
| Question | Answer |
|---|---|
| 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. |
| Treatment (Tx)- | the active manner of treating a patient medically or surgically. |
| Empiric treatment- | medical treatment that is given on the basis of the provider’s observations and experience |
| Prophylactic treatment (prophylaxis)- | a measure taken to maintain health and prevent the spread of disease. “preventive treatment of disease” |
| Active treatment- | treatment directed immediately to the cure of the disease or injury |
| Therapy- | is the attempted remediation of a health problem, usually following a diagnosis. It’s synonymous with treatment in the medical field |
| H&P = | History and Physical |
| HEENT = | head, eyes, ears, nose, throat |
| SOAP- | acronym for subjective data, objective data, assessment, plan (the way progress notes are organized) |
| Home Medication(s) = | medication(s) patient take at home |
| Active Inpatient Medication(s)– | medication(s) patient is prescribed during hospital stay |
| MAR = | Medication Administration Record |
| EMAR = | Electronic Medication Administration Record CCHS EMAR is located in Power Chart |
Created by:
wallace263
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