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Medical Terminology Unit

term
medical

Primary Response: Within the Discussion Board area, write 200–250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

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For this Discussion Board, please complete the following:

Using course materials and online resources, respond to the following scenario:

Miss Nesbit is being discharged from a healthcare facility. The discharge summary is created to provide information and a plan of care for the patient as well as for future healthcare providers. Discharge summaries should include the reason why the patient was initially seen or admitted to the facility, what was found, the procedures or treatments that were administered to the patient, the patient’s condition on discharge, instructions for the patient and family, and the attending physician’s signature.

Read Miss Nesbit’s EHR Discharge Summary using this link. Then, complete the following:

Explain to Miss Nesbit and her family, in your own words (using layman’s terms), what each section (subjective, objective, assessment, and plan) of the Discharge Summary means.
To do this, you will have to look up all of the bold terms and abbreviations in the Discharge Summary.

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