Geriatric Assessment Unit
Posted By: MtMe on 2008-11-14
In Reply to: GAU evaluation - mschweikl
Subject: Geriatric Assessment Unit
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Would you capitalize the name of the unit..ie Hodges Hospital Intensive Care Unit, South?
Subject: Would you capitalize the name of the unit..ie Hodges Hospital Intensive Care Unit, South?
Would you capitalize the name of the unit..ie Hodges Hospital Intensive Care Unit?
Subject: Would you capitalize the name of the unit..ie Hodges Hospital Intensive Care Unit?
TIA...
Actually it is a geriatric patient....lol
Subject: Actually it is a geriatric patient....lol
nm
No, the note I am typing is for a geriatric clinic. Thank you!
Subject: No, the note I am typing is for a geriatric clinic. Thank you!
x
presbylarynx? presby-, presby means old age, as in geriatric . sm
Subject: presbylarynx? presby-, presby means old age, as in geriatric . sm
presbylarynx, age-related atrophy etc. of larynx.
Assessment
Subject: Assessment
ASSESSMENT: Family history of AAA. Will proceed with -- s/l "root" ----- to evaluate.
Anyone have any idea what this is?? I'm drawing a blank.
TY!!
Help with assessment
Subject: Help with assessment
Hypertension with s/l "realciaporosis"...??
Any ideas??
TIA 
assessment ?
Subject: assessment ?
Patient had an s/l EIP - EPL transfer.
in the assessment i would, otherwise no
Subject: in the assessment i would, otherwise no
Assessment ?
Subject: Assessment ?
Assessment ?
Subject: Assessment ?
Can you have an abbreviation like URI in an assessment? Thx. Tina
Assessment
Subject: Assessment
Thank you for the assessment info!!
CAGE assessment?
Subject: CAGE assessment?
CAGE Assessment (Alcohol Abuse)
Powered by:. CAGE Assessment (Alcohol Abuse). For most people who drink, alcohol
is a pleasant addition to eating and to other social activities. ...
https://www.merck.healthinkonline.com/ merckTools/AssessMerckSourceCAGE.asp - 19k - Cached - Similar pages
screening questions - CAGE assessment
Aquarius - UK Midlands charity providing advice and counselling on alcohol and
drugs problems.
www.aquarius.org.uk/cage.htm - 14k - Cached - Similar pages
Livingston County Council Alcohol & Substance Abuse - Assessment
Here's another one: Under Assessment/Plan
Subject: Here's another one: Under Assessment/Plan
1. Erythrocytosis – the patient did have a hemoglobin of 17 on blood work one year ago. I asked him to repeat it, but he forgot. We will recheck his CBC with NORRIS REPREEDIN level today and work this up accordingly. He is not symptomatic.
I keep listening over and over to this, and this is all I can make out. Any clue what he might be referring to??? TIA
It was not a test. It was the assessment.
Subject: It was not a test. It was the assessment.
nm
assessment&plan help!
Subject: assessment&plan help!
If the doctor says assessment and plan together, do I put the header together? I am confused because when he gives the assessment he numbers them 1) 2) then when he gives the plan he numbers them as well but does not say plan any help?
ASSESSMENT:
- Bilaterally arm numbness.
- Nausea.
- Health maintenance recommendations.
PLAN:
- Patient’s critical examination was hyperreflexia suspicious for possible cervical lesion. She will be referred for MRI with cervical spine. Patient may need EMG to further access her numbness.
- Patient will be tried on Nexium, although she does not have any overt symptoms of heartburn. She does have chronic nausea and this may be a sign of stomach reflux. She will be tried on Nexium 40 mg one q.d. Other diagnostic possibilities include slow gastric emptying. The patient does not eat breakfast or lunch and has her largest meal at about 8:00 at night. We discussed the need to consume breakfast and ideally eat 3-5 meals per day, smaller meals to encourage her metabolism. ___ problem health maintenance and in regards to increase her exercise and changing her diet. Patient will be referred to OB/GYN for Pap and pelvic and also will be referred for a screening mammogram. When she follows up to see me we will discuss potential options for colon screening. Patient is to follow-up with me in approximately 1 month time.
assessment and plan
Subject: assessment and plan
I hate when docs do that - mine do it a lot. I think you're good either way but I would put "A&P" as the heading and then just type it the way the doc says it.
Assessment or Impression
Is it an AAMT rule to automatically number the diagnoses in the Assessment or Impression of an H&P or soap even if the dictator does not? TIA!
Should EKG be expanded in Assessment?
Subject: Should EKG be expanded in Assessment?
ASSESSMENT: Abnormal EKG.
question about assessment
Subject: question about assessment
Doc states CABG and mitral valve repair. He clearly states this together. Can this be listed as one assessment? Or should mitral valve repair be next number??
pulmonary assessment
Subject: pulmonary assessment
admitted for elective mediastinoscopy, s/l radio-gram-coscopy?? and left bronchotomy.
1 unit or one unit?
Subject: 1 unit or one unit?
How would you transcribe the "one" in this sentence? Is the one spelled out or is the figure used?
"She was given one unit of blood postoperatively for hematocrit of 24."
ŕ" unit
Subject: ŕ" unit
Assessment: Vaginitis DX. I never heard of DX?? thanks
Subject: Assessment: Vaginitis DX. I never heard of DX?? thanks
Under assessment: UNCOMPELLING EMG results
Subject: Under assessment: UNCOMPELLING EMG results
Is uncompelling a word?
Or is it noncompelling?
Thanks!
Assessment: Dry skin (s/l ictiosis).
Subject: Assessment: Dry skin (s/l ictiosis).
:-)
Oh...assessment is diagnosis..so I would type it out nm
Subject: Oh...assessment is diagnosis..so I would type it out nm
xx
"HO" assessment (alcoholism)
Subject: "HO" assessment (alcoholism)
Has anybody ever heard "EtOH" pronounced as "aitch oh"? Or know what "HO assessment" could mean in relation to alcohol treatment?
"Patient was not eligible for HO assessment."
Thank you!
s/l sediment unit...sm
Subject: s/l sediment unit...sm
The HCG beta ____ s/l (sediment )unit was normal at less than 5.
This was part of testing done for a tumor.
TIA
the TATU unit? is this right?
Subject: the TATU unit? is this right?
for renal transplant. thanks
unit of measurement...sm
Subject: unit of measurement...sm
urine osmolarity revealed 615 s/l milliosms - can't find - per kilogram. TIA!
jan... Isn't Gy a unit of measure?
Subject: jan... Isn't Gy a unit of measure?
.
tele unit.
Subject: tele unit.
The patient is on a telemetry unit
tele unit
Subject: tele unit
telemetry unit
Could it be 'traction' unit? nm
Subject: Could it be 'traction' unit? nm
zz
it is traction unit...thank you
Subject: it is traction unit...thank you
Step-Down Unit
Subject: Step-Down Unit
s/l Cape Unit
Subject: s/l Cape Unit
Unsure of spelling. It is a psychiatric unit and s/l "cape". I have found 1 link to a CAIP unit on a Google search that was an abbreviation for a children and adolescent in-patient unit, but some of the patients they use this term with are not children or adolescents. Has anyone else heard of this term? Thanks in advance for your help!
s/l topo or tolpol for fetal assessment
Subject: s/l topo or tolpol for fetal assessment
Hi! Need help as soon as possible. Typing history and physical for admission of a woman in labor. Here is what is dicated:
Fetal heart rate tracing is in the 140s and reassuring with good variability, accelerations, and no decelerations. (s/l topo or tolpol) is minimal if at all.
Thanks in advance!!
It is Mallampati. A classification used in ariway assessment.
Subject: It is Mallampati. A classification used in ariway assessment.
The number would be Class IV
Thanks for your reply. I will type CAM in the assessment and see what my manager says. nm
Subject: Thanks for your reply. I will type CAM in the assessment and see what my manager says. nm
nm
Assessment: s/l maseno fracture right ankle. nm
Subject: Assessment: s/l maseno fracture right ankle. nm
to try TENS in our s/l pherential unit...
Subject: to try TENS in our s/l pherential unit...
This words sound familiar but I can't figure it out. This is for pain management. TIA
s/l hoss-feel unit - sm
Subject: s/l hoss-feel unit - sm
CT scan of the chest shows stable mass....There is a negative s/l hoss-feel unit, suggestive of possible fluid. TIA!
Hounsfield unit? See definition.
Subject: Hounsfield unit? See definition.
Hounsfield unit
a normalized index of x-ray attenuation based on a scale of -1000 (air) to +1000 (bone), with water being 0; used in CT imaging.
SPU - short procedure unit??? NM
Subject: SPU - short procedure unit??? NM
x
ablation care unit?
Subject: ablation care unit?
CIWA-Clinical Institute Withdrawal Assessment nm
Subject: CIWA-Clinical Institute Withdrawal Assessment nm
Subjective, Objective, Assessment, Plan=SOAP..
Subject: Subjective, Objective, Assessment, Plan=SOAP..
Twenty-five years ago, SOAP format was still the in-thing, but doctors slowly trended away from it, probably due to medical transcription and formats changing over time. They are easy to do though.
He goes right into the Assessment of elevate PSA and bilat. iguin. hernia
Subject: He goes right into the Assessment of elevate PSA and bilat. iguin. hernia
CIWA-Clinical Institute Withdrawal Assessment
Subject: CIWA-Clinical Institute Withdrawal Assessment
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