test – Ceriom

iCare Plan Live

Physician

Lockett

Gibson

Date / Time

Patient First Name

Patient Last Name

Patient Email (If you wish to send their copy immediately)

What are the current strengths of the patient that can help them with their care and/or recovery

These are your strengths that will help you achieve your healthcare and recovery goals

Select your ACTIVITY goals for this patient in the next 30 days

Referrals

Please contact the following cardiologist at your earliest convenience.

Cardiologist

Here is the cardiologist I recommend.

Dr. Emil Splushhausen

Dr. Kate Mulgrew

Please contact the following mental health specialist at your earliest convenience

Psychological

Here is the mental health specialist I recommend for you:

Dr. Kate Capshaw

Patrick Stewart

What services or deliverables does the patient require that can only be delivered by a clinic (not necessarily yours)

Services or products you can expect to receive from the clinic(s) you are visiting

What are the desired outcomes from this plan of care

Desired Outcomes

The patient demonstrates the use of different relaxation skills and diversional activities as indicated for the individual situation

The patient reports pain at a level of less than three to four on a 0 to 10 rating scale.

The patient uses pharmacological and nonpharmacological pain relief strategies.

The patient verbalizes an acceptable level of pain relief and the ability to engage in desired activities.

The patient engages in desired activities without an increase in pain level.

Your desired outcomes if you adhere to this plan of care