Clinical Encountersprovider-centered approachShared Decision Making (SDM)client-centered approachtwo types of client assessmentsFostering the ________-__________ relationship
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is critical because without a good relationship none of the other goals of the clinical encounter can be pursued in an optimal manner.
Focused Assessment
Comprehensive Assessment
Elements of a Standard Comprehensive Health History;
Chief Complaint (CC)
When documenting the CC, make every attempt to:
OLD CARTS
Pertinent positives
Pertinent negatives
Differential Diagnosis (DDx)
Subjective data
Examples
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