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گزارش نويسي 2 PowerPoint PPT Presentation


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گزارش نويسي 2. اهداف آموزشي : دانشجو بعد از ارائه مطالب قادر باشد : ـ انواع پرونده ( منبع مدار، مشكل مدار ) را از نظر ويژگي‎ها ، اجزاء ، مزايا و معايب با هم مقايسه كند . ـ انواع روش‎هاي ثبت گزارش ( SOAP,PIE,DAR,CBE,FACT, COR, ) را از نظر ويژگي‎ها و مشخصات شرح دهد .

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گزارش نويسي 2

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(SOAP,PIE,DAR,CBE,FACT,COR, ) .

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:Problem Oriented Medical Record (P.O.M.R)

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P.O.M.R :

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: Sourse Oriented Record (S.O.R)

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S.O.R :

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S : (Subjective) : . .


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O : (Objective) : . .

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P : (Plan) : .

SOAPIE SOAPIER . (Interventions) (Evaluation) (Revision) .


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E : : .

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PIE :

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12/8/84 D :

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: Charting By Exeption(C.B.E)

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FACT :

CBE . . :

F:(Flowsheet)

A : (Assessment)

C : (Concise)

T :(Timely Entries)

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CORE :

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D : Data

A : Action

E: Evaluation


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