Our hospital is going to be monitored soon by joint commission. From what i understand they are looking at at our care plans
. We are pretty good at our psych diagnosis but we reportedly need to brush up on our adding medical diagnosis for our patients with conditions. The main one i see is patients with a history of asthma, but most of them only have excercise induced asthma and only have a prn albuterol inhaler and usually don't even use the inhaler while they are in the hospital.
I need help with what type of dg. Would this be. I've been thinking high risk for ineffective airway secondary to asthma but what would i use for aeb since it is just hx.
Or something else. Most of them don't have symptoms.
The other issues is someone by have a sore throat ever once in a blue moon. Do i just add pain to the care plan and/or use knowledge deficit?
It's been a while since i did these medical plans.