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Addendum – Report of Diagnostic Results
Diagnostic Result Interpretation
<ul> <li></li> </ul>
Reporting of Diagnostic Results
What diagnostic test was performed?
Date of diagnostic test
How did you notify the caregiver?
Date of reporting
Time of reporting
Select an option
Anytime
06:00 am
06:30 am
07:00 am
07:30 am
08:00 am
08:30 am
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09:30 am
10:00 am
10:30 am
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11:30 am
12:00 pm
12:30 pm
01:00 pm
01:30 pm
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02:30 pm
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03:30 pm
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04:30 pm
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05:30 pm
06:00 pm
06:30 pm
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07:30 pm
08:00 pm
08:30 pm
09:00 pm
09:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
Which caregiver did you update?
Updated Problem List
<p>Known:</p> <ul> <li></li> </ul> <p>New:</p> <ul> <li></li> </ul> <p>Currently not of clinical concern / stable:</p> <ul> <li></li> </ul>
Updated Assessment
Updated Treatment
(Required)
<p>Medical regimen:</p> <ul> <li> </li> <li> </li> </ul> <p>Nutritional/nutraceutical/supplements:</p> <ul> <li> </li> </ul> <p>Rehabilitation protocol:</p> <ul> <li> </li> </ul> <p>Comfort or crisis kit:</p> <ul> <li>Was provided.</li> <li>Was not provided.</li> </ul>
Update Plan
<p>Client Care Team or Palliative Care Nurse next steps:</p> <ul> <li>The palliative care nurses were instructed to send the following information sheets to the caregiver/s: <ul> <li><em>I.e. Canine Myxomatous Mitral Valve Disease</em></li> </ul> </li> <li>The palliative care nurses were instructed on the following next steps: <ul> <li><em>I.e. Humane euthanasia was recommended within the following 7 days</em></li> </ul> </li> </ul> <p>Future Medical Plan:</p> <ul> <li></li> </ul> <p>Emergency Plan</p> <ul> <li>As per the IPPC.</li> </ul>
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