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STEP-DOWN CONCEPTS

IN HEALTH CARE

CONTINUITY OF CAREThe role of the Famil Pra!titio"er

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De#"itio"$

What i$ CONTINUITY OF CARE

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De#"itio"$

CONTINUITY OF CARE i$%Co"ti"&i"' !are after $(e!iali$t !are

Life lo"' !are

CONTINUITY OF CARE - )et*ee" +i,ere"t leel$ of

health !are Primar health !are

Se!o"+ar a"+ tertiar Care

Lo"'-term Follo* &( !are

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Ca$e ./r$ A"ita i$ a 01 r$ ol+ oer*ei'ht female (re$e"t$ to the 2e"eral

Pra!titio"er3$ !li"i! *ith e4!e$$ie thir$t5 h&"'er a"+ (ol&ria6

Her mother i$ a 7"o*" +ia)eti!

The 2P ma7e$ a !li"i!al +ia'"o$i$ a"+ refer$ her to the i"ter"i$tat Siloam ho$(ital re8&e$ti"' a+mi$$io" a"+ i"e$ti'atio"6

WRITE A REFERRAL LETTER

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Referral !omm&"i!atio"$ Primar !om(lai"t

Rea$o" for referral

Dia'"o$i$

/a"a'eme"t

S(e!i#! i$$&e Ur'e"!

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Ca$e .

The I"ter"i$t !o"#rm$ the +ia'"o$i$ a"+ $he i$ $tarte+ o"i"9e!ta)le i"$&li"6

She i$ +i$!har'e+ to the !are of her 2e"eral Pra!titio"er

WRITE A DISCHAR2E SU//ARY ANDRECO//ENDATIONS FOR THE 2P

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Discharge summary

Identifcation:

Discharge date:

Discharge Diagnosis%

Summary:6- )rief $&mmar of hi$tor a"+ PE

- )rief $&mmar of i"-ho$(ital !are

Special Procedures%

Discharge medications6

Postoperative Plan%

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Discharge summary

Identifcation:Ibu Anita age 32Do: !!"#$"%&

Discharge date: 2#"#2"!!Discharge Diagnosis% Dia)ete$ /ellit&$

Summary:6Thi$ 01 r$ (re$e"t$ *ith t(i!al thir$t a"+ (ol&ria6 I"e$ti'atio" $ho*$ fa$ti"' :S of;N

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Discharge summary - a $&r'i!al e4am(leCoa$t Re'io"al Ho$(ital

Thoma$ .?@1 1./RN 01.B

A+mitti"' Ph$i!ia"% Dr6 T66 S(i"e'&A+mi$$io" +ate% .5 B?5 BDischarge date: 15, 09, 08

A+mitti"' Dia'"o$i$% A!&te L-S. +i$! (rotr&$io"

Discharge Diagnosis: A!&te L-S. +i$! e4tr&$io"

(perative Procedure% L-S. L&m)ar Di$!e!tom ;.5 B?5 B