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Progress Notes are the part of a medical record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review. Progress ...
It is the patient's progress since the last visit, and overall progress towards the patient's goal from the physician's perspective. In a pharmacist's SOAP note, the assessment will identify what the drug related/induced problem is likely to be and the reasoning/evidence behind it.
Periodontal pocketing < 3mm, but calculus (dental) present with or without plaque retentive factors such as "overhanging" restorations 3: Shallow periodontal pockets (i.e. first band on probe partially visible) 4: Deep periodontal pockets > 5.5 mm (first band on probe disappears) * (star added to the score, e.g. 4*)
The Commission on Dental Competency Assessments (formerly the North East Regional Board of Dental Examiners) is one of three examination agencies for dentists in the United States. [1] These were organized to better standardize clinical exams for licensure. Historically each state had its own independent licensing exam.
The recommended frequency of dental hygiene treatment can be made by a registered professional, and is dependent on individual patient needs. [41] Factors that are taken into consideration include an individual's overall health status, tobacco use, amount of calculus present, and adherence to a professionally recommended home care routine.
Radiographic assessment should be carried out for patients with evidence of periodontitis to observe alveolar bone levels which can help to identify signs of AgP. [40] In healthy periodontal tissues, the distance from the amelocemental junction (ACJ) to the alveolar bone crest is typically in the order of 1mm in young people. [ 42 ]
The dental classification of ageing however is more useful if it is based on the patient's ability to seek dental care independently. [ 10 ] Frail elderly have chronic, debilitating, physical, medical and emotional problems who are unable to maintain independence without continued assistance from others.
Conversely, a deficient VDO will appear as though the patient's mouth has collapsed, and the chin appears too close to the nose; in essence, the patient would be over-closing their mouth because there would not be enough wax on the wax rims to maintain the proper vertical dimension of occlusion.