Document and Review Patient Pain for a Speech Therapy Visit

NextGen® Therapy Suite Help 30.3.13.0

Past History

You can enter Past History information by selecting any of the links in the left navigation for Function, Nutrition, Pediatric, Lymph/Oncology, Cognition, and Fluency. Past History grid When you have opened any Past History template, you can use the left navigation to jump to another template. Note: To fill in these templates more efficiently, you can use Get Data to pull information from prior visits, or QuickPicks to enter saved favorites. See Use Get Data and QuickPicks for more information. After you have entered all information on a template, select Save & Close. All information is stored in the Past History grid. Document and Review Patient Pain for a Speech Therapy Visit You can document a patient's pain levels and review their pain progression for a speech visit. Parent topic: Speech Subjective Panel

NextGen® Therapy Suite Help 30.3.13.0

Document and Review Patient Pain for a Physical or Occupational Therapy Visit

You can document the patient's pain levels for the current day, when they are at rest, and when they are active. You can also review the pain history within the case to assess the patient's pain levels over time. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Single Visit template, and then expand the Subjective panel. Enter the pain levels in Today, At Rest, and During Activity. Optional: To review the patient's pain levels over time within the case, select the Pain link. The Pain History template opens with the pain details of all the encounters related to the case. To document the pain experienced during the patient's daily functions, select Function in Subjective Grid to open the Function template. Optional: To view historical pain levels from the Function template, select the Previous Pain Grid link. The Previous Pain Grid template opens with pain data from previous versions. You cannot modify these pain values. New pain l

NextGen® Therapy Suite Help 30.3.13.0

Document a Speech Therapy Health Promotion Plan

You can document screening and follow-up plans of care for the following: BMI, depression, and hypertension health promotion plans Pain management and fall risk plans of care Functional status Note: You can customize the Health Promotion Plan template in NextGen® Adaptive Content Engine. For more information, go to the NextGen Healthcare Success Community and download the latest NextGen® Adaptive Content Engine Health Promotion Plan Quick Reference Guide. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Speech Single Visit template associated with the encounter, and then expand the Plan panel. Select the Health Promotion Plan link, and then document the plan in one or more of the following panels of the Health Promotion Plan window: Health Promotion Plan (used for BMI, depression, or hypertension) Pain Management Fall Risk Functional and Cognitive Assessment Status Note: The Screening Tools/Follow-Up Plans of Care panel displays

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Pain Assessment and Plan of Care

You can document the pain assessment details and follow-up plan of care. Open NextGen® Enterprise EHR. Open the Intake template. Expand the Vital Signs panel, and then select the Health Promotion Plan link.The Health Promotion Plan template opens. Expand the Pain Management panel. Note: The Pain level and Method fields display the details entered on the Vital Signs template. You cannot update the pain level and method in the Pain Management panel. Pain Management - Health Promotion Plan To manage exceptions and view measure details on the Exceptions/Measures template, select Exceptions. If details are not entered in the Pain level section on the Vital Signs template, select the following fields, and select the appropriate option in the list. Pain level Method Duration Quality To indicate to see the HPI details, select the See HPI checkbox. Enter the location of the pain of the patient. Select Onset, and select the date when the pain started. Enter the follow-up plan of care for a patie

NextGen® Therapy Suite Help 30.3.13.0

Document Caregiver Education for Speech Therapy

You can document the speech therapy training the patient's caregiver receives in the patient's absence. The patient or representative must have given consent for this training. The caregiver training information appears on the Office Visit document. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template associated with the encounter, and then select an SLP visit type. Open the NTS Speech Single Visit template, and then expand the Objective panel. Under Treatment, select Education. The Education template opens in the Speech Education window. Select Patient consented to caregiver training. Select the appropriate checkbox that describes whether the caregiver training is for an individual or a group. For individual caregiver training, enter the total minutes of training time in Min, and then enter any therapist assistant-led training time in Asst. Asst appears only if the administrator configured the therapist assistant t

NextGen® Therapy Suite Help 30.3.13.0

Document Patient Education for Speech Therapy

Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template associated with the encounter, and then select an SLP visit type. Open the NTS Speech Single Visit template, and then expand the Objective panel. Under Treatment, select Education. The Speech Education template opens. Under Education, select a field to open a list of education descriptions, and then do one of the following: Select a description from the list to insert it into the field. Select Free Text to return to the field, and then enter a custom description of the education provided. Optional: Repeat the previous step to document additional patient education. In Patient and/or Caregiver Education, enter additional information related to the patient education or caregiver training. This information appears on the Plan of Care and Office Visit documents. Select Save & Close. The SLP Education row is added to the Treatment grid in the Objective panel. Parent top

Document and Review Patient Pain for a Speech Therapy Visit

Recommendations

Past History

Document and Review Patient Pain for a Physical or Occupational Therapy Visit

Document a Speech Therapy Health Promotion Plan

Document Pain Assessment and Plan of Care

Document Caregiver Education for Speech Therapy

Document Patient Education for Speech Therapy

Document and Review Patient Pain for a Speech Therapy Visit

Past History

Document and Review Patient Pain for a Physical or Occupational Therapy Visit

Document a Speech Therapy Health Promotion Plan

Document Pain Assessment and Plan of Care

Document Caregiver Education for Speech Therapy

Document Patient Education for Speech Therapy