|
The Treatment Record is controlled by an
individual Appointment, which in turn ensures a single Client can have a
range of treatments via a selection of therapies if so desired.
Each individual treatment record is
subdivided into two sections, the first of which holds information on
areas relating to the overall treatment itself and includes:
-
Notes on the main complaint or reason
for treatment.
-
Key general symptoms being
experienced.
-
Stress and energy levels at the time
of treatment.
-
Note on any changes since the last
treatment.
-
Notes on short and long term goals
for the treatment along with any reflective practices the therapist
may wish to add.
The second section relates more
specifically to what we refer to as a treatment observations. These
notes relate directly to each of the twelve pre-defined therapies.
Each of these therapies in turn allow,
through system maintenance for the allocation of any number of treatment
associations, which then attract the uniform structure, allowing for
ease of record comparison across therapies or disciplines.
The treatment observation notes do vary and allowances have
been made for this by introducing a "Specific to Individual Therapy"
selection headings below the Treatment Specific Contra-indications
selection. Though in all cases the observation categories are uniformly
presented as follows:
-
Treatment specific
contra-indications.
-
Specific to Individual Therapy.
-
Outcome of last treatment.
-
Client reaction and feedback.
-
Rational for choice of treatment.
-
Treatment method.
-
Mediums and equipment used.
-
Treatment conclusions.
-
Home care and advice given.
The twelve pre-defined therapies are:
It is worth noting that the system doesn't restrict
the therapist to these twelve therapies as it allows
for the
introduction of any number of user defined therapies. The user defined
therapies automatically adopt the two treatment record
subdivisions.
|
