Descriptive Words For Medical Charting

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Nurse Charting 101 | Berxi™

https://www.berxi.com/resources/articles/nurse-charting-101/

Your charting generally should include: Authorship Details: For example, the date/time the note was written, as well as your full name, credentials, and …

The General Dermatology Exam: Learning …

https://stanfordmedicine25.stanford.edu/the25/dermatology.html

Demarcation Well-demarcated Not well-demarcated Color White Red Purple Brown Yellow Black Blue Secondary Morphology Serum (Dry crust) Fissure Lichenification …

Table of descriptive terms commonly used …

https://www.slideshare.net/raisah_lomangcolob/table-of-descriptive-terms-commonly-used-in-charting

TABLE OF DESCRIPTIVE TERMS COMMONLY USED IN CHARTING FACTORS TO BE …

How to use patient-centered language in documentation

https://www.mdedge.com/psychiatry/article/64504/practice-management/how-use-patient-centered-language-documentation

Oct 1, 2011

Charting Disruptive Patient Behaviors: Are …

https://allnurses.com/charting-disruptive-patient-behaviors-are-t512139/

Words like "aggressive" "assaultive" "agitated" and "inappropriate" never make it into my notes in the ED …

Fundamentals of Dermatology Describing Rashes and Lesions

https://camls-us.org/wp-content/uploads/2018/05/Handout-Fundamentals-of-Dermatology.pdf

If your charts do not routinely include words like macules, papules, plaques, nodules, ulcers, petechiae, etc. – then review this tonight to avoid confusion over next few days. …

Active verbs/phrases that can be used to document …

https://file.lacounty.gov/SDSInter/dmh/1075894_MentalHealthServices_MHS_ActiveInterventions.pdf

for training purposes only active verbs/phrases that can be used to document mental health services (mhs) interventions

A Glossary of Psychiatric Terms - Mental …

https://mentalhealthathome.org/2018/04/18/glossary-psychiatric-terms/

Alexithymia: an inability to identify and describe one’s emotions; considered to be a personality trait. Anhedonia: an inability to experience pleasure. …

A Compiled List of Words Anywhere? - allnurses

https://allnurses.com/a-compiled-list-words-anywhere-t185584/

Breathing: spontaneoius, assisted, apnea, labored, shallow, deep, snoring, gasping Breath sounds: CTA (clear to assulcation), diminished, absent, coarse/rhonchi, …