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The patients otherization medical regestration
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WHAT IS POMR CHARTING?
The patients otherization medical regestration
What is the difference between SOMR and POMR?
SOMR (Source-Oriented Medical Record) organizes patient information by different sources of data, such as lab results, medications, and nursing notes, making it easier to track specific disciplines. In contrast, POMR (Problem-Oriented Medical Record) structures information around the patient's problems, facilitating a comprehensive approach to diagnosis and treatment by focusing on individual issues and their management. The POMR method encourages a more holistic view of patient care, while SOMR is more fragmented and source-specific.
Which component of a Problem-Oriented Medical Record (POMR) describes a course of action for each identified problem?
The component of a Problem-Oriented Medical Record (POMR) that describes a course of action for each identified problem is the "Plan" section. This part outlines the strategies for managing each problem, including diagnostic tests, treatments, referrals, and follow-up actions. It serves as a roadmap for healthcare providers to address the patient's specific issues systematically.
What are five advantages of using a medical record organizational system such as theproblem oriented medical record porm?
The Problem-Oriented Medical Record (POMR) system enhances patient care by providing a structured approach to documentation that emphasizes the patient's problems and needs. It facilitates better communication among healthcare providers, ensuring that all team members are aligned on patient status and treatment plans. The POMR system also supports more efficient data retrieval and analysis, leading to improved clinical decision-making. Additionally, it promotes a comprehensive view of the patient’s health, allowing for more holistic and coordinated care.
What kind of record format consists of format databases problem lists initial plans and progress notes?
Medical records at Willow Nursing Home have the following format: database, problem list, initial plan, and progress notes. What type of record format is this? This type of record format is called C. Problem-oriented
Differences between source oriented problem oriented medical record?
In a POMR or problem oriented medical record, the record is kept together by problem number (a number is assigned to each problem. Progress notes in these records are kept in SOAP format. S=subjective (chief complaint, present illness), O=objective (physical exam, labs), A=assessment (diagnosis, prognosis), P=plan (treatment). In a SOMR or source oriented medical record, the record is kept together by subject matter (labs are all together, progress notes are all together). Progress notes in a SOMR are written in paragraph format.
