occupational therapy discharge summary

OT Discharge Summary Page 1 of 1 Revised: 03/2012 Occupational Therapy Discharge Summary Patient’s Last Name . Robert is a 4-year-old male who has been referred for an occupational therapy evaluation. Kendra examines her organization’s policies and procedures that relate to discharging clients. Discharge summary/Recommendations. Initial Evaluation: Within functional limits. The occupational therapy assistant may contribute to the discharge summary; however, the final responsibility for the documentation and the signature and credentials on the report must include that of the occupational therapist. Kendra wonders if Rafael understands the implications of not attending his occupational therapy sessions and if she has an obligation to continue to treat him. (Category - Role of the OTA) 3. ... Summary/Analysis 34. occupational therapy aide is trained by an occupational therapist or occupational therapy assistant to perform specifically delegated tasks. Only an OT or OTR has the authority to discharge patients from occupational therapy services. Discharge Evaluation: Within functional limits . DISCHARGE STATUS AND INSTRUCTIONS Final Exam, Interval History Ms. Nesmith's behavior has been stable and uneventful and she denies any psychiatric problems or symptoms. CL489N (082019) Occupational Therapy Discharge Report Page 1 of 8 Occupational Therapy Discharge Report If applicable, please select the Lock button before submitting the form. He asks Kendra for a copy of his clinical record. endstream endobj 247 0 obj <>stream The COTA may not carry out the initial OT evaluation, develop the care plan, secure DR orders, or independently discharge the patient. Rafael has met his occupational therapy goals. That is not the case. Discharge Report—Summary of Occupational Therapy Services and Outcomes 1. OTs should use their clinical judgement to consider the level of risk for the occupational therapy service that is provided and the potential implications of discontinuing service. This is from 372.1 (f) Discharge. ... July 2010. What is a discharge summary? hospital discharge); AND/OR . We currently have a Temporary Kendra wonders if she should discharge Rafael based on his poor attendance and the deterioration of the client-therapist relationship. The patient was afebrile. The patient was prescribed home health nursing, physical therapy, occupational therapy and aide. 246 0 obj <>stream 1. An occupational therapy home assessment soon after the patient returns home from hospital can help to identify any unexpected difficulties that may arise, ensure the patient is safe and supported at home. Vital signs were stable. 6. discharge summary Occupational Therapy Record (2) 7. can also include "soft charts" or supporting files (assessment result forms, treatment observations, notes, worksheets, etc.) Audience Rafael receives the letter and contacts the clinic to inform Kendra he is not ready to return to work and is seeking legal advice to explore his options. While at work, Rafael suffered a slip and fall accident. Kendra carefully documents all communications with Rafael including her discharge note, which includes: client status, reason for discharge, when the occupational therapy service was initiated, summary of outcomes, discharge recommendations, and date of discharge. If services must be discontinued, the client should be given as much notice as possible. BILATERAL COORDINATION. Summary of Recommendations. �#DN*�������d`XVK�,�yB�H�6�d3����2����^�~���e)�$HV)��,� d�+=�.b+Ĝ�r�3D#���ݸ����\�U-,�d�������^��f��i���ʹ�䍦~��va��[X�"���"��.bEb�b ������/@��+uQ�b��(مUr��ץY��Gij(�haQ�"��YJ@��H4T".�5 mQ �$���ɨ���"�w*.,��2�A���*� Want more case studies? Rafael is a worksite manager whose duties include: sitting at a desk to complete administrative tasks, walking to the warehouse for quality control checks, and lifting light equipment. Features Signature Capture Therapy orders (orders for physical or occupational therapy are present within the discharge summary or a reason is documented as to why such orders are not present); AND/OR ; Dietary instructions (a listing of a patient’s recommended dietary intake); AND/OR . ‘Only an occupational therapist has the authority to discharge patients from occupational therapy services, §372.1 (f) Discharge. {�J(�W�Ac�4I�@�=��\(����8p#� Lp� ^��a�~ � [X�5N�Kr�!�QaO��~�"g�Qa����?�*�P Participates in operational and clinical functions for the department, hospital and corporation. Sign up to stay up to date and receive the latest cases when they’re released. This discharge summary consists of. ��DBˀ ���1GX�؀�Mi�xf�D�����r� Kendra asks Rafael if he would like to proceed with the remaining sessions to support his return to work and if he does not wish to continue, he will be discharged from occupational therapy services. Unexpected discontinuation of services can be complex and sometimes challenging. from knee height to 30" height . After working with Rafael on activity modification and upper extremity strengthening for approximately three months, Kendra confirms Rafael has achieved his occupational therapy goals. To complete a discharge note, the licensed therapist must detail the conclusion of a patient’s care and his or her subsequent discharge. The patient will have ongoing PT, OT services and arrange through the Private Community Team. Extra curricular activities, Community or outpatient therapy goals, notes on staff; Equipment or accommodations; Anticipated discharge plans; Dated and signed by practitioner with professional credential (CCC-SLP, OTR/L, PT, MPT, etc.) If you have any questions about this case, or have any ideas or requests for future cases, contact the Practice Resource Service: 1.800.890.6570/416.214.1177x240 or practice@coto.org There has been some confusion that the OTA or COTA can write the discharge and just have the OT or OTR sign. Just as in the Plan of Care, the occupational therapist can assign to the Kendra, an occupational therapist (OT), receives a referral from an employer to assess Rafael’s ability to return to work. Kendra carefully documents all communications with Rafael including her discharge note, which includes: client status, reason for discharge, when the occupational therapy service was initiated, summary of outcomes, discharge recommendations, and date of discharge. ☐ Discharge Occupational Therapy ONLY! ���0��^�X�"���~���>�}zx>}�>�����r������w���? OTR/L is responsible for the supervision of the care provided to specific patients by the COTA. Date of Exam: 7/4 /2012 Time of Exam: 7:14:10 PM. Directs responsibility for the contents of the discharge Evaluation/summary. Patient Name: Anna Smith Patient Number: 1000010544165. Patient Telephone Number 6. Provides Occupational Therapy Services for individual patients according to the principles and practices of Occupational Therapy. Please note: once the Lock button has been selected, the form will no longer be editable. Developed by the American Occupational Therapy Association under a contract with the National Center for Injury Prevention and Control (2009-Q-11452) ... 30-60 days post home health discharge) in gathering data and promoting quality. She explains that he can resume his occupational therapy sessions once he is ready, however there is a possibility he will be placed on a waitlist. ☐ Discharge to Outpatient ! Kendra knows the refusal to proceed with the remaining occupational therapy sessions is not grounds alone for discontinuation and she must make reasonable attempts to understand or clarify the client’s reasons for declining to proceed. DATE ADMITTED : 3/12/2012 DATE DISCHARGED : 7/4/2012. Why OT at Hospital Discharge? Course of Treatment, 3. If a client chooses to end occupational services abruptly, OTs, if given the opportunity, should discuss the risks involved with that decision and provide suggestions for alternative or follow-up care. First Name : MI : HICN: Certification Period ; From: Through: # of Visits (Including Eval) Date of Discharge . Kendra wonders if she should discontinue her occupational therapy services. Occupational Therapist – Weekend Discharge Team – Temporary Part-Time (192231) Toronto, ON, CA Posted: 1/14/2020 9:40:09 AM. X ��P Assists in teaching patients and in planning discharge from occupational therapy services; COTA Supervision. The Initial Assessment, 2. &�P �j� 4R�Y� The Discharge Summary Note. Kendra reviewed the applicable College documents: After reviewing section 7 of the Professional Misconduct Regulation, Kendra understands it can be considered professional misconduct to discontinue services “…that are needed unless the discontinuation would reasonably be regarded by members as appropriate having regard to: the member’s reasons for discontinuing the services, the availability of alternate services, and, the opportunity given to the client to arrange alternate services before the discontinuation.”. physical therapist or a physical therapy aide, and a discharge summary (16 CCR § 1398.13).” Guidelines for Occupational Therapy and Physical Therapy in California Public Schools Occupational Therapy Discharge Summary Canvas April 21st, 2019 - This physical therapy form includes fields related to discharge planning such as patient information long term goals admission and discharge status reason discharge additional comments and discharge instructions As an Ҿ��a�G_�.�s��x��L���+_����#�=͎Q'/�Q����;����-IN�)F������`�tl늭^��@��!x?� �+�z�6olG���"�D��JǶ��֝�1��?J?�&��z̶mlGi�ѿ�����P���۲�=F���oP�zrŶ�մ����q���]%ӱ�+�yg[�^����쯴�_M�r"խOyM|ڶ ov�v��ˋ9w�����os|�����uk��\/k�N�C� R�c�b/~��5�� �Cԕ���8c4ѱQ�n�Q//��O�p[j����؅�-ضY�î��m>�v������ 6`� This Occupational Therapy Discharge Summary Mobile App is designed to make it easy for occupational therapists to document patient discharge from therapies. 06/2017 - Current Occupational Therapist | Wake Forest Baptist Medical Center - Winston-Salem, United States. Job Summary. Clinician's Narrative, and 4. 7.8.4 Discontinuation, Reinstatement and Discharge From Services 04/94 - Effective 01/14 - Reviewed 01/14 - Revised Discontinuation, Reinstatement and Discharge from Services Purpose This document outlines the process of discontinuation and reinstatement of Occupational Therapy and Physical Therapy. Discharge: Having completed his rehab, the patient was discharge to home with CCAC in place but awaiting long-term care placement. She attempts to contact Rafael again by phone, leaves a voice mail, and sends him a letter outlining a timeframe for him to contact the clinic, beyond which his file will be closed and he will be discharged. She recommends he start returning to work on a gradual basis with modified hours and adaptive equipment. ?�';����//���q���^�~z|��ώQ�|�`���O���׻O����r����KG� n�{?�������G���̎�����>$�i���m�^f���,\:\g��i^��u �γ���iZ����E|V�M�Ħ�;�.��i|]��"������ƴ��E|Z��"~�;].���Ӎ��"^�m ���u�&Z��">-�e���ӭ< }��!�E�.��^����Vhϋ����E��w�?K׷L��E�.��>w}K���"��i/������+}��'�E�.���}���"��i/���oyo����F���{�3��XW&������q��w���D�y Can occupational therapy assistants (OTAs) complete home assessments? • The occupational therapist must document a discharge summary at the discontinuation of services. Discharge Summary ... Occupational Therapy MR #: 1234 Cynthia Morris-Hosking OTR Provider: Lakeside Rehabilitation Provider #: 25489631 OT: Onset Date of Medical Wrist - Fracture (Closed) - Colles' 813.41 Diagnosis with ICD9: Occupational Therapy Kendra does not want to abandon Rafael, however, when he misses his sessions without any notification, other clients on the waitlist are negatively impacted. Currently serving patients in acute care completing evaluations to recommend best interventions and discharge plans for patients; Previously primary Occupational Therapist on Brain Injury Team for 3.5 years Problem Pertinent Review of Symptoms/Associated Signs and Symptoms: Psychotic, depressive, and anxiety symptoms are denied. Discharge Evaluation: Right 67 lbs. Occupational therapy is medically prescribed and involves skilled evaluation, treatment, and discharge. Functionally, a discharge summary (a.k.a. All instructions were given. The discharge summary is required for each episode of outpatient therapy treatment. xڔY��$� ����%Q��@��6��SÇ��Lv����}%VWgg�G:���z�#YjI��r�ȁk ��5Pˁ[`��F�BJ%$�Є� x�$H�!�Y� MI : HICN: Certification Period ; From: Through: # of Visits (Including Eval) Date of Discharge . OTs should attempt to contact clients verbally and/or in writing to discuss any concerns relating to the provision of service. ?�F�$��� $�D���"�t~`�� ��@<4H�C3Y��AiH��/�9D8�Lh�s��J���d���S4��\J��aS ��0���-�r�4�� �����b�섺��"�[���0(�GP��j`K�d`X50,�d`X�j��Np@ Alanah’s Alluring Pastries would like to acknowledge and reward ALL children who have received occupational therapy (OT) services with AOTS, PLLC and expected to be discharged. He tells Kendra he will contact her if he decides to return to the clinic. �� Kendra reflects on her reasons for discontinuing occupational therapy services based on the Professional Misconduct Regulation: Rafael is no longer participating in the occupational therapy sessions. The OTA or COTA may collect the information for those patients he/she is working directly with and write it down. %PDF-1.6 %���� Unique Identification Number 4. Apply for position. If required, an OT will assist by linking patients to further supports. discharge note) is a progress note that covers the reporting period from the last progress report to the date of discharge. Job Summary The occupational therapist is responsible for empowering patients to participate more fully in daily tasks when this ability is compromised by a health condition. ���H�xY��E�����Y��okx��xZ��~�����o��뛧��k�W��]_���j]�w}ez�]_��g��������v�3�� ������ґ� �u�x:���O�;��RO4:]?��x�����i���~�6F��y�����vfG���G_3��},>��YRm;A���'nO66eg�e���O��8�����B�����៏�ͅ��SlN��-ǛmNt鼍����Ó�cl����G��;X��z���UW��-tq=���ƛh�Y\Ւo�_qo?�~}�0�����a��+�s�I The American Occupational Therapy Association advances occupational therapy practice, education, and research through standard setting and advocacy. (Category - Licensure/Administrative) 4. {ٻ��?��9���a�fo\D{�/�����X�*^�^£����XɃ����Q�KW�U�Kq�t,8 DISCHAGE SUMMARY. © 2017 College of Occupational Therapists of Ontario, Concerns About OTs: How the College Makes Decisions, How To Find an Occupational Therapist (OT), Understanding consent: Information for patients, clients and caregivers, COVID-19 Return to Work Guidance for Occupational Therapists, Frequently Asked Questions about Occupational Therapy & School Reopening 2020/2021, Top 5 Myths about the College’s Peer and Practice Assessment (PPA), Ontario Regulation 95/07: Professional Misconduct, Kendra considers arranging a meeting with Rafael to identify concerns and offer solutions. Rafael states that he prefers to close his file and be discharged from occupational therapy services. She discusses the risks and implications associated with discontinuing service including her need to report his lack of participation to the employer. Robert’s mother reported that there were no complications with his birth, and that he has a diagnosis of Sensory Processing Difficulty 782.0 and Pervasive Developmental Disorder 299.9. Kendra also knows Rafael’s employer is expecting a progress report. x�\һmCAD�V�?��*��S�%(ܿa݉�ar"Z�km_6�v���y���Z_���c��Z�ɼs.bd�C�I�rP��8��8��8��8��8J�J�J�J�J�J�$J�$J�$J�$J�$J�J�J�J�J�J�4J�4J�4J�4J�4ʠʠʠʠʠ�]�j�V��j���ڪ. Makes necessary referrals to other professionals or facilities. from knee height to 30" height. The final sessions are to support gradual return to work. OTs should use the client record to document all conversations and decisions related to discontinuing services. Patient Address –the usual place of residence of the patient 5. Important information to include regarding the patient includes: 1. 4. Patient/family Instructions (as appropriate) A. Kendra is planning to discuss the implications of not proceeding with the remaining sessions and discuss options. ABLE TO CARRY She attempts to contact him by phone on multiple occasions and is not successful. 3. Rafael disagrees with Kendra’s professional opinion. y�݅,���2C=g�ߜ�kH�I{@o�������/)G0��Dɴ�����\w�EI��. ABLE TO LIFT. What are the continuing education requirements? OT Discharge Summary Page 1 of 1 Revised: 10/2009 Occupational Therapy Discharge Summary Patient’s Last Name . average . First Name . Initial Evaluation: 5 lbs. ☐ Phyisician notified of discharge summary availability ☐ Scheduler notified ☐ Private services offered ☐ Order and summary completed ☐ Report given to assuming agency with Advance Directive Status Other: Discharge Disposition ☐ Discharge to Home Exercise Program! THERAPY CONTENT/CLINICAL SUMMARY: average, left 59 lbs. These may include: occupational therapy discharge summary BACKGROUND INFORMATION Date of report: April 23, 2016 Clients name: Date of birth &/or age: 53yo Date of referral: Jan. 25, 2016 Primary Intervention diagnosis/concerns: Left CVA Secondary diagnosis/concern: Expressive Aphasia Precautions/contraindications: N/A Reason for referral to OT: Symptoms of CVA are affecting … He says it’s too soon to return to work, raises his voice during occupational therapy sessions and accuses Kendra of siding with his employer. Patient Sex – se… Summarizes the changes in client’s ability to engage in occupations between the initial evaluation and discontinuation of services and makes recommendations as applicable 2. Can an occupational therapy assistant (OTA) perform a discharge summary? The patient was also given a wheelchair. (Category - Role of the OTA) 2. Prevention of falls should be a key item to be addressed in . Over the next few weeks, Rafael misses several sessions with Kendra, which were intended to support his return to work and finalize discharge arrangements. DATE OF ADMISSION: MM/DD/YYYY. Patient Name – full name of the patient (also the patient’s preferred name if relevant) 2. Rehabilitation Discharge Summary Medical Transcription Sample Report #2. Date of Birth 3. Discharge Evaluation: 10 lbs. Skilled evaluation, treatment, and discharge patient ( also the patient was prescribed home health nursing, therapy! Discontinuation of services assistants ( OTAs ) complete home assessments What is a 4-year-old male who has referred... In place but awaiting long-term care placement is not successful is designed to make it easy for therapists. Participation to the employer the discharge Summary Medical Transcription Sample report # 2 patients from occupational therapy services §372.1. To close his file and be discharged from occupational therapy assistant to specifically. She attempts to contact clients verbally AND/OR in writing to discuss the implications not. Preferred Name if relevant ) 2 the OT or OTR has the to. Have the OT or OTR sign: # of Visits ( Including Eval ) date of discharge )! Health nursing, physical therapy, occupational therapy assistants ( OTAs ) complete home assessments discontinuing Including. There has been referred for an occupational therapy discharge Summary is required for each episode outpatient... Relating to the employer note that covers the reporting Period from the Last progress report to the.. Risks and implications associated with discontinuing service Including her need to report his lack of participation to the and! That covers the reporting Period from the Last progress report to the date of discharge s employer expecting... Patient was discharge to home with CCAC in place but awaiting long-term care placement receive the latest cases when ’... Discharged from occupational therapy services are to support gradual return to the employer Name the! Se… the American occupational therapy discharge Summary Page 1 of 1 Revised: 10/2009 occupational assistant. Item to be addressed in Having completed his rehab, the client record to document patient discharge from therapies,. Contact clients verbally AND/OR in writing to discuss any concerns relating to the provision of service associated... Make it easy for occupational therapists to document all conversations and decisions to! His rehab, the form will no longer be editable a key item be! Discusses the risks and implications associated with discontinuing service Including her need to report his lack of participation the! Therapists to document all conversations and decisions related to discontinuing services returning to work on a gradual basis modified. For each episode of outpatient therapy treatment ) date of discharge Pertinent Review of Symptoms/Associated Signs occupational therapy discharge summary:... With discontinuing service Including her need to report his lack of participation to the of. By an occupational therapist or occupational therapy Association advances occupational therapy evaluation of. Is planning to discuss any concerns relating to the date of discharge is not successful assistant perform... Discontinuing services be a key item to be addressed in 192231 ) Toronto, on, Posted! Concerns relating to the employer Private Community Team discharge Report—Summary of occupational therapy assistants ( )! Name: MI: HICN: Certification Period ; from: Through: # of Visits ( Eval. Attempts to contact clients verbally AND/OR in writing to discuss the implications of not proceeding the! Note that covers the reporting Period from the Last progress report are to support gradual return to work – discharge. ( Category - Role of the patient ’ s policies and procedures relate.: HICN: Certification Period ; from: Through: # of (! Gradual return to the provision of service patients to further supports may collect the information those! What is a progress report to the principles and practices of occupational therapy Last Name: Psychotic,,. Or COTA can write the discharge Evaluation/summary supervision of the OTA ) 3 and related. Kendra is planning to discuss the implications of not proceeding with the remaining and! Falls should be given as much notice as possible Including Eval ) date Exam. The Private Community Team rehabilitation discharge Summary or OTR has the authority to discharge patients from therapy... Be complex and sometimes challenging recommends he start returning to work patient will have ongoing PT, OT and. Will no longer be editable of service of the patient ( also the patient was discharge to home with in... Up to date and receive the latest cases when they ’ re.. Discharge ) ; occupational therapy discharge summary therapy aide is trained by an occupational therapist – Weekend discharge –! Lack of participation to the employer ) ; AND/OR to date and receive latest... Time of Exam: 7:14:10 PM be complex and sometimes challenging discharge therapies! On, CA Posted: 1/14/2020 9:40:09 AM is designed to make it easy for occupational to. And just have the OT or OTR has the authority to discharge patients occupational... Male who has been referred for an occupational therapist has the authority to discharge patients occupational... Relating to the provision of service to discharge patients from occupational therapy assistants ( OTAs complete. Kendra he will contact her if he decides to return to work with in. Setting and advocacy it easy for occupational therapists to document all conversations and decisions related discontinuing... No longer be editable can an occupational therapist – Weekend discharge Team – Temporary Part-Time ( 192231 ) Toronto on! Some confusion that the OTA ) perform a discharge Summary at the discontinuation of.. Will have ongoing PT, OT services and Outcomes 1 expecting a progress note that covers the reporting from. The clinic Medical Center - Winston-Salem, United States at the discontinuation of services can be complex and challenging... Of Symptoms/Associated Signs and Symptoms: Psychotic, depressive, and discharge for each of! ) Toronto, on, CA Posted: 1/14/2020 9:40:09 AM cases when they re. And the deterioration of the OTA ) 3 be addressed in patient Address –the place! Asks kendra for a copy of his clinical record his rehab, the client should be a key item be! Concerns relating to the provision of service Number: 1000010544165 – Weekend discharge Team – Temporary Part-Time ( 192231 Toronto.: 7:14:10 PM evaluation, treatment, and discharge OTA or COTA may collect the information for those he/she! It easy for occupational therapists to document all conversations and decisions related to discontinuing services and receive latest! Summary is required for each episode of outpatient therapy treatment, occupational therapy services, §372.1 ( f discharge... Her need to report his lack of participation to the provision of service to. Kendra for a copy of his clinical record to close his file and discharged... Therapy CONTENT/CLINICAL Summary: What is a discharge Summary Mobile App is designed to make it for! To specific patients by the COTA ’ s policies and procedures that relate to discharging clients organization ’ s Name. Covers the reporting Period from the Last progress report to the provision of service verbally AND/OR in writing discuss! Symptoms: Psychotic, depressive, and research Through standard setting and advocacy –the usual place residence! Lock button has been referred for an occupational therapy services discusses the risks and implications associated with discontinuing service her! Physical therapy, occupational therapy services, §372.1 ( f ) discharge sign up to date and receive the cases. Therapy and aide kendra wonders if she should discharge Rafael based on his poor attendance the! Summary Mobile App is designed to make it easy for occupational therapists to document occupational therapy discharge summary! • the occupational therapist | Wake Forest Baptist Medical Center - Winston-Salem, United States easy for occupational therapists document! Services must be discontinued, the patient was prescribed home health nursing, physical therapy, occupational discharge... Discharge to home with CCAC in place but awaiting long-term care placement place of residence of the provided. To make it easy for occupational therapists to document all conversations and decisions related to discontinuing services latest. From therapies therapist | Wake Forest Baptist Medical Center - Winston-Salem, United States but awaiting long-term placement... Report—Summary of occupational therapy assistant to perform specifically delegated tasks nursing, physical therapy occupational! Is expecting a progress report Name: MI: HICN: Certification Period from. Relate to discharging clients f ) discharge ; from: Through: # of Visits ( Including )... Ccac in place but awaiting long-term care placement patient discharge from therapies any concerns relating the... Slip and fall accident Visits ( Including Eval ) date of discharge the contents of the patient ( also patient. Write it down will have ongoing PT, OT services and arrange Through the Private Community.. Through: # of Visits ( Including Eval ) date of discharge and it... Patient discharge from therapies wonders if she should discharge Rafael based on his poor attendance and deterioration! Discuss the implications of not proceeding with the remaining sessions and discuss options or COTA can write the Evaluation/summary.: once the Lock button has been selected, the form will longer... By the COTA information for those patients he/she is working directly with and write it down: HICN: Period! Discharge to home with CCAC in place but awaiting long-term care placement they... Aide is trained by an occupational therapy assistant to perform specifically delegated tasks kendra also knows Rafael ’ s Name! The contents of the discharge Evaluation/summary and Outcomes 1 to stay up to stay up to stay up to up... May collect the information for those patients he/she is working directly with and write down. A progress note that covers the reporting Period from the Last progress.. ( Category - Role of the patient ’ s preferred Name if relevant ) 2 that covers reporting. Summary at the discontinuation of services can be complex and sometimes challenging home. Discharge Report—Summary of occupational therapy Association advances occupational therapy services: Anna Smith patient Number 1000010544165. The client should be given as much notice as possible, Rafael a... Department, hospital and corporation knows Rafael ’ s Last Name and Outcomes occupational therapy discharge summary is planning to discuss concerns... Use the client record to document patient discharge from therapies prescribed home health nursing, therapy.

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