← Document menuHome Care · DiraChart1. Purpose and clinical relevance
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.
- Abdominal and GI assessment with screening for an acute abdomen and GI bleeding.
- Bowel-regimen management, particularly the prevention and treatment of opioid-induced constipation (coordinated with Pain).
- Ostomy care and management — appliance changes, stoma and skin assessment, and output monitoring (with Lines / Drains / Devices).
- Nausea management per order and coordination of diet and hydration (with Nutrition and Hydration).
- Recognition of an acute abdomen or GI bleed with emergency activation, and coordination of evaluation.
Section NavigationPart 13 of 26PreviousNext