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Generic Client Consultation Form

Generic Client Consultation Form. WHO Traditional Medicine Strategy 2014 – 2023 “Help health care leaders to develop solutions that contribute to a broader vision of improved health and patient autonomy.” Dr Margaret Chan Director –General of WHO

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Generic Client Consultation Form

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  1. Generic Client Consultation Form WHO Traditional Medicine Strategy 2014 – 2023 “Help health care leaders to develop solutions that contribute to a broader vision of improved health and patient autonomy.” Dr Margaret Chan Director –General of WHO Strategy: two key goals: 1. Support member states in harnessing the potential contribution of T&CM to health, wellness and people centered health care. 2. Promote the safe and effective use of T&CM through the regulation of products, practices and practitioners. Goals Attained by : • Building the knowledge base and formulating national policies. • Strengthening safety, quality and effectiveness through regulation. • Promoting Universal health care coverage by integrating T&CM services and self –health care into national health systems. Frances Daly MSc. Vice -Chair FICTA 2015 - 2016

  2. Executive summary WHO 1. Building the knowledge base – appropriate policies that understand and recognise the role and potential of T&CM 2. Strengthen Quality assurance – products, practices and practitioner'seducation, training skill development, services and therapies. • Best practice approach through quality assurance and research. 3. Promoting universal health care Frances Daly MSc. Vice-Chair FICTA 2015 - 2016

  3. SOPA Charting S Subjective O Objective A Assessment P Plan Frances Daly MSc. Vice -Chair FICTA 2015 - 2016

  4. Generic Client records and consultation card SOAP Charting began in T&CM in 1984 to standardise the information required by therapist in order to treat clients. • Insurance companies require chart notes to substantiate claims. • Richard Aldler taught the first known SOAP charting method for therapists. • It helped therapists of all therapies to be able to evaluate a client who may come to your clinic with their notes from another therapist. • It standardises the clinic room information. • This method would be in keeping with the WHO strategy 2014 -2023 Frances Daly MSc. Vice -Chair FICTA 2015 - 2016

  5. Subjective Subjective information is: • What the client tells you about themselves and current symptoms • Personal information • This includes the intake information on Page’s 1, 3, 4 Frances Daly Msc. Vice -Chair FICTA 2015 - 2016

  6. Objective Objective information is: Your observations - Pages 5,6. • Posture assessment /ROM / skin texture / hot / cold. • Clients physical reactions to emotions. • Clients Psycho- emotional reaction. Frances Daly Msc. Vice -Chair FICTA 2015 - 2016

  7. Objective information Frances Daly Msc. Vice -Chair FICTA 2015 - 2016

  8. Frances Daly Msc. Vice -Chair FICTA 2015 - 2016

  9. Frances Daly Msc. Vice -Chair FICTA 2015 - 2016

  10. Assessment This section may need to be modified for different therapies (i.e.subtle aromatherapy, Reiki, Reflexology and others). • Here special tests specific to the therapy may be required (Sample page 7) • CAM therapists combine the subjective and objective information gathered during the interview to form a consolidated treatment plan. • Treatment Goals can be assessed in this section or when reviewing the treatment plan. Frances Daly MSc Vice -Chair FICTA 2015 - 2016

  11. Treatment Plan The results and findings in the Subjective, Objective and Assessment stages are reviewed with the client (Page 8). • Goals: both the short and long term goals of the client are reviewed. • Goals of therapist both long and short term are discussed. • A treatment plan is recommended by the therapist. • When agreed by Client, Declaration of understanding (as per page 8) is signed by the Client before treatment begins Frances Daly MSc. Vice -Chair FICTA 2015 - 2016

  12. Status report Report on the days treatment (Page 9) includes: • How the client felt before, during and after treatment • Therapists Objectives • Therapists Strategy • Modalities used • Home Care advice • Reflective practice • Treatment goals this visit – achieved or not • Therapist Signature Frances Daly Msc. Vice -Chair FICTA 2015 - 2016

  13. Narrative Reports consist of: • A complete summary of the clients case from start to this day. • Include initial Subjective , Objective, Assessment and Plan • Then the progress to date highlighting major changes negative or positive • Then list the clients present status Frances Daly Msc. Vice -Chair FICTA 2015 - 2016

  14. FICTA research project WHO - quality assurance and research (Page 2) • Family Medical history • Name optional • Male / Female • DOB • Therapy. Thanks to: Luminso Bioenergy healing Therapy - Sylvia Henrich; Oisin Bio-Energy healing Centre; Shen Therapy - Deirdre Leavy; Susan Gleeson-Walsh, Reiki; IISSM - Frances Daly; Lucy Mullee and Clive Lucas - ASK. Frances Daly Msc. Vice -Chair FICTA 2015 - 2016

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