Voortgangsrapport Kwaliteitsverzorging
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Are you looking for a professional Quality Care Therapy Progress Report? If you've been feeling stuck or lack motivation, download this template now!
Do you have an idea of what you want to draft, but you cannot find the exact words yet to write it down or lack the inspiration how to make it? If you've been feeling stuck, this Quality Care Therapy Progress Report template can help you find inspiration and motivation. This Quality Care Therapy Progress Report covers the most important topics that you are looking for and will help you to structure and communicate in a professional manner with those involved.
Physician fills out “COMPLETED BY PHYSICIAN” section and files with patient records Patient Name Medication dose mg/day Date COMPLETED BY PATIENT Circle the answer that best fits the way you feel now Not all all Extremely I feel anxious 0 1 2 3 4 I feel like yawning 0 1 2 3 4 I am perspiring 0 1 2 3 4 My nose is running and/or my eyes are watery 0 1 2 3 4 I have goosebumps and/or chills 0 1 2 3 4 I feel nauseated or like I may need to vomit 0 1 2 3 4 I have stomach cramps and/or diarrhea 0 1 2 3 4 My muscles twitch 0 1 2 3 4 I feel dehydrated and/or have not had much appetite 0 1 2 3 4 I am having difficulty sleeping 0 1 2 3 4 I have a headache 0 1 2 3 4 My muscles and bones ache 0 1 2 3 4 I feel like using right now 0 1 2 3 4 I would rate my overall level of withdrawal as 0 1 2 3 4 Do you feel you need a dosage change No Yes Have you used alcohol or other drugs since your last visit No Yes Up Down If “yes,” please describe what, when, and how much Handelsman L, Cochrane KJ, Aronson MJ, Ness R, Rubinstein KJ, Kanof PD..
Feel free to download this intuitive template that is available in several kinds of formats, or try any other of our basic or advanced templates, forms or documents. Don't reinvent the wheel every time you start something new...
Download this Quality Care Therapy Progress Report template and save yourself time and efforts! You will see completing your task has never been simpler!
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