CLEVELAND CLINIC HOME CARE PAGE 1 OF 3 SPEECH THERAPY DISCHARGE SUMMARY Circle Team: N1 N2 N3 N4 T1 T2 T3 T4 Other Disciplines still Active SOC: SN OT S 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by circling the appropriate team designation (N1, N2, etc.) and indicating any other active disciplines involved in care.
  3. Fill in the SOC (Start of Care) date and check the relevant options for discharge reason. Ensure you select only one option that best describes the patient's situation.
  4. Complete the goals for treatment section by marking the status of each goal achieved, partially achieved, or not met.
  5. Indicate the discharge condition by checking one of the options provided, such as Excellent or Poor.
  6. Finally, ensure all required signatures are completed at the bottom of the form before saving your changes.

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The goal of occupational therapy is to develop and improve the skills that are needed to live life as independently as possible. This includes things like being able to take care of yourself and to work as well as being able to leave your home and meet up with other people.
A therapy discharge summary serves multiple purposes: This helps inform the client on their continuing journey and lets other professionals know what has been covered. Plus, the therapy discharge summary acts as another layer of protection for potential legal or insurance problems.
The discharge summary is a comprehensive hospitalisation report documenting details of the patient with all the medical and personal information that becomes an atomic record of the patients medical history.
As with your clients progress notes, your discharge summary should include certain information that sums up your work together, such as: Client information. Diagnosis both their initial diagnosis and their diagnosis at the time of discharge. Current symptoms. Discharge date. Services provided. Treatment summary.
Conclusion: The key components to include in a discharge summary are the discharge diagnosis, treatment received, results of investigations and the follow up required.
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The discharge note summarizes the plan of care and what interventions were used in order to achieve a patients goals. The discharge summary also includes future plans or recommendations for self-management by the patient or caregiver.

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