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A discharge summary is a clinical report prepared by a health professional at the conclusion of a hospital stay or series of treatments. It is often the primary mode of communication between the hospital care team and aftercare providers.
6 Components of a Hospital Discharge Summary Reason for hospitalization: description of the patients primary presenting condition; and/or. docHub findings: Procedures and treatment provided: Patients discharge condition: Patient and family instructions (as appropriate): Attending physicians signature:
Once you are happy with the progression your child has made during therapy, all assessments and relevant treatment sessions have been completed and any reports you may want received and understood, and Occupational Therapy can no longer benefit your child, then you can be discharged from our service.
A discharge report written by a therapist shall include: Documentation of the patients subjective statements, if relevant. Updated objective measures, including validated outcome surveys. Extent of progress toward each goal; which goals have been attained and which were not achieved.
Discharge ReportSummary of Occupational Therapy Services and Outcomes. 1. Summarizes the changes in clients ability to engage in occupations between the. initial evaluation and discontinuation of services and makes recommendations as. applicable.
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A discharge summary is a clinical report prepared by a health professional at the conclusion of a hospital stay or series of treatments. It is often the primary mode of communication between the hospital care team and aftercare providers.
No. The occupational therapist must review any information from the occupational therapy assistant(s), determine if goals were met or not, complete and sign the discharge documentation and/or make recommendations for any further needs of the patient in another continuum of care.

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