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https://ajp.psychiatryonline.org/doi/10.1176/ajp.2006.163.9.1502
Then I made my first mistake by saying, “The patient is aphasic, so he cannot state a chief complaint; however, his son heard him fall in the bathroom and….” “Stop! Stop right now!” screamed Dr. Soprano. “The chief complaint is what the patient says when you ask him what’s wrong, not what his son says.
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/610603
Oct 01, 1988 · The complaint of chronic fatigue remained unexplained in 31 patients. In this prospective study, two thirds of cases of chronic fatigue appeared to be caused by psychiatric disorders. A thorough evaluation of the mental health of patients complaining of chronic fatigue could therefore provide pharmacologic and psychotherapeutic approaches and avoid unnecessary and costly medical …Cited by: 240
https://www.aapc.com/blog/42585-chief-complaint-required/
Simply stated, the chief complaint is a description of why the patient is presenting for healthcare services. An easily identifiable chief complaint is the first step in establishing medical necessity for services rendered.Author: John Verhovshek
http://www.mt911.com/site/neuro/psychiatric_interview_examination.asp
Chief Complaint This is the patient's chief complaint, and you should write down what the patient states is the reason for coming in to be evaluated. Do not use technical terminology unless the patient does - rather, put down exactly what the patient says usually in quotations.
https://www.ncbi.nlm.nih.gov/pubmed/3178379
The complaint of chronic fatigue remained unexplained in 31 patients. In this prospective study, two thirds of cases of chronic fatigue appeared to be caused by psychiatric disorders. A thorough evaluation of the mental health of patients complaining of chronic fatigue could therefore provide pharmacologic and psychotherapeutic approaches and avoid unnecessary and costly medical …Cited by: 240
https://www.icanotes.com/features/charting/psychiatry/sample-notes/
You press hierarchical buttons to document the history of present illness, chief complaint, symptoms, past psychiatric history, medical history, social history, developmental history, family history, and mental status exam. Diagnoses are made using drop-down menus organized in accordance with ICD-10.
https://www.psychiatry.org/psychiatrists/practice/telepsychiatry/toolkit/clinical-documentation
Components of a clinical encounter which should be documented include: Chief Complaint or Reason for Encounter. Referral Source. History of Present Illness. Current Treatments including medications and ongoing therapies. Mental Status Examination. Diagnoses. Treatment Plan including.
https://www.mhcc.vic.gov.au/complaints/example-complaints
We have since made a formal recommendation to the Secretary of the Department of Health and Human Services for the issues identified in complaints to be considered in the Chief Psychiatrist’s review of the guidelines for discharge planning for mental health services in Victoria.
https://www.aao.org/young-ophthalmologists/yo-info/article/em-documentation-requirements-part-3-chief-complai
Jul 22, 2014 · The chief complaint is the focus of the exam. If the patient has several complaints, document them in order of highest to lowest medical risk. For example, consider the elements of the exam performed when the patient complains of red eyelids that itch, and compare them to the elements of the exam performed when the second complaint is that the vision in the left eye has become …
https://en.wikipedia.org/wiki/Psychiatric_history
The severity of each complaint is assessed and this may include probing questions on sensitive issues such as suicidal thoughts or sexual difficulties. Past history [ edit ] This is divided into the psychiatric past history , which looks at any previous episodes of the presenting complaint as well as any other past or ongoing psychiatric problems.
http://www.delmarlearning.com/companions/content/0766826899/res/takingament.asp
Chief complaints are direct quotes from the client, usually no more than a sentence, that describes the client’s perception of the current problem. An example of this element follows: "The voices are telling me to kill myself and I can’t get away from them."
https://jaoa.org/article.aspx?articleid=2094402
Aug 01, 2012 · The first-contact triage nurse completes the form as the initial history of the patient is obtained. The tool helps to assess the absence of acute medical illness and determine if patients with psychiatric chief complaints can bypass the emergency department (ED) and go directly to the Emergency Behavioral Health (EBH) unit.Cited by: 4
https://en.wikipedia.org/wiki/Chief_complaint
[ citation needed ] The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician -recommended return, or other reason for a medical encounter. In some instances, the nature of a patient's chief complaint may determine if services are covered by medical or vision insurance.
https://www.sharecare.com/health/managing-your-health-care/what-is-chief-complaint
Internal Medicine A Chief complaint is the medical term used to describe the primary problem of the patient that led the patient to seek medical attention and of which they are most concerned.
https://www.ncbi.nlm.nih.gov/pubmed/29370946
Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints. Schieferle Uhlenbrock J(1), Hudson J(2), Prewitt J(2), Thompson JA(2), Pereira K(2). Author information: (1)Durham, NC. Electronic address: [email protected]. (2)Durham, NC.Author: Jennifer Schieferle Uhlenbrock, John Hudson, Judy Prewitt, Julie A. Thompson, Katherine Pereira
http://amdc.edu.pk/Psychosocial%20History%20and%20Mental%20State%20Examination.pdf
Chief Complaint The chief complaint, in the patient's own words, states why he or she has come or been brought in for help. It should be recorded even if the patient is unable to speak, and the patient's explanation, regardless of how bizarre or irrelevant it is, should be recorded verbatim in …
https://www.aapc.com/blog/25848-successfully-capture-hpi-elements-in-psychiatry-em-notes/
Aug 01, 2013 · As of Jan. 1, 2013, any E/M service a psychiatrist performs must be reported using the same E/M code set (99201-99215) that other specialists have been using for years. This is new territory to many psychiatric providers, and raises an important question: What do you do when the chief complaint involves mental health? Define Mental Health HPI
https://www.chiefpsychiatrist.wa.gov.au/consumercarer/how-to-make-a-complaint/
The Health and Disability Services Complaints Office (HaDSCO) is an independent statutory authority that reviews and reports on the causes of complaints. HaDSCO will assist in the resolution of complaints when a consumer is not satisfied with the outcome of the …
https://www.sciencedirect.com/science/article/pii/S0099176717304233
Addiction chief complaints was a confounding variable because these patients often had mental health complaints (addiction) combined with medical complaints (withdrawal) and were medically treated for intoxication, dependency, withdrawal, and/or overdose.Author: Jennifer Schieferle Uhlenbrock, John Hudson, Judy Prewitt, Julie A. Thompson, Katherine Pereira
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