Nursing Addendum to Plan of Care (CCP) 1 of 7 - TMHP.com 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the client name, Medicaid number, and date at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Complete the Documentation Requirements section by checking off all necessary documents that must accompany this addendum for review.
4. In the Nursing Care Plan Summary section, list any problems, goals of care, specific measurable outcomes, and progress toward those goals. This provides a comprehensive overview of the client's needs.
5. Fill out the Summary of Recent Health History with pertinent details regarding hospitalizations or changes in medication. This helps in assessing current health status.
6. Detail the Rationale for PDN Hours, indicating whether hours should increase, decrease, or remain unchanged based on client needs.
7. For the Schedule of Services section, accurately record PDN coverage using military time across all specified time slots throughout the week.
8. Finally, ensure that all required signatures are obtained in the Acknowledgement section to validate the plan and confirm understanding among all parties involved.

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