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DiraChart Clinical Reference
Section NavigationPart 13 of 26PreviousNext 8. Interventions performed
Document the skilled interventions delivered this visit; each should connect to a finding and carry a reassessment in Section 10.
- Functional assessment with grading of the assistance level and interpretation of any change from baseline.
- Transfer and mobility evaluation with instruction in safe techniques.
- Durable-medical-equipment and assistive-device assessment, recommendation, and training.
- Coordination of a physical- or occupational-therapy referral per order when function is impaired or declining.
- Caregiver training in safe assistance and task adaptation, and linking the findings to the plan of care and homebound documentation.
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