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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
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