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PART II KEY
CODE EDUCATION NEEDS CODE WHO CODE HOW CODE RESPONSE
CR COMMUNITY RESOURCES F FAMILY D DEMONSTRATION Q ASKED QUESTIONS
DIET MODIFIED DIET PT PATIENT MED MEDICATION A ATTENTIVE VERBAL
INSTRUCTION SHEET RESPONSE
D/C PERTINENT DISCHARGE
INSTURCTIONS OF O OTHER P PAMPHLET DA DEMONSTRATED
CONTINUING CARE NEEDS ABILITY
F/D POTENTIAL FOOD/DRUG V VERBAL REF OFFERED AND REFUSED
INTERACTION INSTRUCTIONS TEACHING
Rehab REHABILITATION TV VIDEO/TV R REQUIRES
TECHNIQUES REINFORCEMENT
RES RESPONSIBILITIES OF W WRITTEN DI SEEMS DISINTERESTED
PATIENTS IN THEIR CARE INSTRUCTIONS UL UNABLE TO LEARN
EQ SAFE & EFFECTIVE USE OF O OTHER VR VERBALIZED RECALL/
EQUIPMENT UNERSTANDING
MED SAFE & EFFECTIVE USE OF
MEDICATIONS
RX WHEN & HOW TO OBTAIN
FURTHER TREATMENT
PH PERSONAL HYGIENE N/A NOT APPLICABLE
FORM # 679
PATIENT/FAMILY
(Rev. 4/97)
EDUCATION RECORD 29