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Section Navigation Part 2 of 14 1. General Section 2. 1. Where this overlay applies 3. 2. Plan-of-care goals — provider parameters govern 4. 3. Key visit elements 5. 4. Medication and treatment monitoring 6. 5. Skilled teaching priorities 7. 6. Red flags and escalation 8. 7. Medical-necessity statement 9. 8. Disease-specific smart phrases 10. 9. Scenario bank 11. At goal / managed 12. Decompensation / focused change 13. 10. Cross-references 14. 11. Sources and clinical references Previous Next 1. Where this overlay applies This is a disease overlay. The complete physical examination — inspection, auscultation, palpation, normal and abnormal findings, and the Mode A / Mode B narratives — lives in the parent assessment modules below. This overlay adds only the disease-specific monitoring, parameters, teaching, and escalation that layer on top of those examinations. Do not repeat the parent examination here.
Parent modules this overlay layers onto
Cardiovascular (SYS-CARDIOVASCULAR) — heart sounds, perfusion, jugular venous pressure, and edema examination. Respiratory / Pulmonary (SYS-RESPIRATORY) — crackles, oxygenation, and dyspnea assessment. Vital Signs (Core Domain) — blood pressure, heart rate, weight, and measurement technique. Nutrition and Hydration (Core Domains) — sodium and fluid intake and balance. Foundations — the universal writing, skilled-need, and teach-back rules that apply to every visit. Section Navigation Part 2 of 14 1. General Section 2. 1. Where this overlay applies 3. 2. Plan-of-care goals — provider parameters govern 4. 3. Key visit elements 5. 4. Medication and treatment monitoring 6. 5. Skilled teaching priorities 7. 6. Red flags and escalation 8. 7. Medical-necessity statement 9. 8. Disease-specific smart phrases 10. 9. Scenario bank 11. At goal / managed 12. Decompensation / focused change 13. 10. Cross-references 14. 11. Sources and clinical references Previous Next