Communication

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Trace DC25-13

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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8. Interventions performed

Document the skilled interventions delivered this visit; each should connect to a finding and carry a reassessment in Section 10.

  • Communication assessment with identification of barriers and the required accommodations.
  • Arranging a qualified medical interpreter for clinical information and consent.
  • Adapting teaching — large print, demonstration and return demonstration, simplified language, ensuring hearing-aid use, or an augmentative device.
  • Coordination of speech-language, audiology, or vision referral as indicated.
  • Verifying comprehension by teach-back and ensuring informed participation and consent.
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