Enter Life Goals, Strengths, Abilities and Barriers

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Service Preferences for the Client

Expand the Service Preferences panel. Type details in the Describe individual/family/guardian/significant other perception of needs and preferences for care, including environmental supports field. Parent topic: Assess/Plan Section Tab

NextGen® Adaptive Content Engine Help Enterprise 8

Assess/Plan Section Tab

The Assess/Plan section tab for the Comprehensive Assessment template set enables you to document the client's life goals, strengths, service preferences, as well as the assessment and treatment recommendations for the client. The Assess/Plan section tab has six panels: Life Goals, Strengths, Abilities and Barriers Service Preferences Clinical Formulation/Interpretative Summary Assessment/Diagnosis Treatment Recommendations/Assessed Needs Signatures This template also includes the Start and End functionality along with the ability to print the Comprehensive Assessment note. Enter Life Goals, Strengths, Abilities and Barriers Enter Service Preferences for the Client Record Who Supplied the Clinical Data and Provide an Interpretive Summary Enter Assessment and Diagnosis Details Enter Treatment Recommendations Enter Document Signatures Parent topic: Comprehensive Assessment Template Set

NextGen® Therapy Suite Help 30.3.13.0

Prognosis

To enter a prognosis, select the Prognosis field, and then select a prognosis from the picklist. Parent topic: Assessment/Plan Panel

NextGen® Therapy Suite Help 30.3.13.0

Rehab Potential and Patient Status

The two fields at the top of the Assessment panel open picklists for you to document an assessment of the patient’s potential for rehabilitation, and the change in their condition since the previous visit. Rehab potential and Patient status fields on the Assessment panel Add Rehab Potential Add Patient Status Parent topic: Assessment Panel

NextGen® Therapy Suite Help 30.3.13.0

Assessment and Plan Details

The A/P Details link in the left side navigation opens the Assessment/Plan Details and Treatment template. Use this template to add as many impressions, comments, differential diagnoses, and patient and provider’s plans for a diagnosis, as necessary. Add Details for a Treating Diagnosis Document Treatment Parent topic: Assessment/Plan Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Plan of Care and Additional Information

In the Plan and Additional Information panel, click My Plan to open the My Plan template set. My Plan Template Enter the details of an action plan that can be implemented by the client between sessions, in the Plan/additional information field. Parent topic: Nurse's Progress Note (Long) Parent topic: Nurse's Progress Note (Short)