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DiraChart Clinical Reference
Section NavigationPart 15 of 26PreviousNext 10. Response and reassessment
Every intervention and teaching action requires a documented response that closes the loop. An intervention without a reassessment is an audit gap.
- Reassessment score after an intervention — for example pain ___/10 → ___/10 after the analgesic, with the functional effect.
- Tolerance and any adverse effects of the administered or coordinated medication.
- Teaching effectiveness: teach-back percentage or return demonstration of the regimen and safety plan.
- Functional response — improved ambulation, transfers, or sleep.
- The plan for reassessment timing and what will be re-evaluated next visit.
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