Charting pediatric comprehensive and symptom-focused health care visits

CHAPTER 20

Charting pediatric comprehensive and symptom-focused health care visits

Comprehensive well-child visit

The initial comprehensive well-child visit is composed of subjective data, which includes all components of the health history, objective data from the physical examination including vital signs and laboratory screening, assessment and/or list of health conditions, anticipatory guidance for activities of daily living, a plan for each health condition, and follow-up with the child and family. Figure 20-1 presents a sample form for charting the comprehensive well-child visit. Figure 20-2 presents a form for a continuity well-child visit.

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Jul 3, 2016 | Posted by in PEDIATRICS | Comments Off on Charting pediatric comprehensive and symptom-focused health care visits

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