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When a physician or case manager creates a master list of client deficits and develops a plan of action focused on these deficits, this is called

a. a problem-oriented medical record
b. a clinical pathway
c. the case load of the physician on staff
d. a diagnostic protocol

1 Answer

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Final answer:

When a physician or case manager creates a master list of client deficits and develops a plan of action focused on these deficits, this is called a. a problem-oriented medical record.

Step-by-step explanation:

The creation of a master list of client deficits along with a planned course of action focusing on these deficits is commonly referred to as a problem-oriented medical record (POMR). This approach to documentation and planning in healthcare focuses on identifying and tackling the specific health problems faced by patients. Its goal-oriented nature alongside strategic implementation is essential in addressing complex cases that may involve mobility issues or social challenges, such as untreated trauma, which can impede the effectiveness of treatment and recovery.

In the context of healthcare, maintaining balance in policy development is critical. There are three pertinent questions to consider: How can we manage the costs of treatments and diagnoses while ensuring optimal patient outcomes? What strategies can be implemented to enhance patient quality of life without compromising their privacy. So the answer is option a.

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