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Ļ ÖćøđÿøĉöóúĆÜñĎšðśü÷ĒúąñĎšéĎĒúǰ(Empowerment)
ĻÖćøÿøšćÜÙüćöøĂïøĎšÿč×õćóéšćîÖćøĒóì÷ŤĒñîĕì÷ǰ(Literacy)
Continuity of Care
ĻÖćøéĎĒúêŠĂđîČęĂÜĔîßčößîǰ(Community care)
Ļ ÖćøêĉéêćöĂćÖćøĀúĆÜÖćøøĆÖþćǰ(Follow up)
ĻÖćøüĉîĉÝÞĆ÷đóČęĂÿĉĚîÿčéÖćøøĆÖþćǰ(Finalized diagnosis)
Discharge
Ļ ÖćøðøąđöĉîđóČęĂüćÜĒñîÝĞćĀîŠć÷ǰ(Discharge planning) øŠüöÖĆîÖĆïÿĀüĉßćßĊóǰ(Multidisciplinary team meeting)
Ļ ÖćøðøąđöĉîĒúąêĉéêćöÖćøøĆÖþćĒêŠúąüĆîǰ(Reassessment)
ĻÖćøøĆÖþćêćöĒîüìćÜðäĉïĆêĉđüßÖøøöĕì÷ǰ(TTM guideline)
Care Delivery
Ļ ÖćøøĆÖþćêćööćêøåćîÖøöÖćøĒóì÷Ť/øćßüĉì÷ćúĆ÷ǰ(CPG)
ĻÖćøüćÜĒñîéĎĒúøĆÖþćøŠüöÖĆïÿĀüĉßćßĊóǰ(Multidisciplinary team planning)
ĻÖćøøĆÖþćêćöĒîüìćÜðäĉïĆêĉđüßÖøøöĕì÷ǰ(TTM guideline)
Care Planning
Ļ ÖćøøĆÖþćêćööćêøåćîÖøöÖćøĒóì÷Ť/øćßüĉì÷ćúĆ÷ǰ(CPG)
ĻÖćøüĉîĉÝÞĆ÷ÝĞćĒîÖÙüćöøčîĒøÜǰ(Diagnosis & Classification)
Ļ ÖćøêøüÝøŠćÜÖć÷đóČęĂðøąđöĉîĂćÖćøǰ(Patient Assessment): Barthel index/Impairment
Assessment & Dx
ĻÖćøàĆÖëćöðøąüĆêĉÖćøđÝĘïðśü÷ǰ(History taking)
ĻÖćøïĆîìċÖךĂöĎúÿŠüîïčÙÙúǰ(Personal data)
Ļ ÖćøúÜìąđïĊ÷î÷Čî÷ĆîêĆüêîđךćÿĎŠøąïïǰ(Identification)
Access & Entry
ĻÖćøÙĆéÖøĂÜđïČĚĂÜêšîǰ(Screening): New case/Refer back/Walk in/Re-admit ìĊęđךćđÖèæŤǰIMC
Ļ ÖćøđÿøĉöóúĆÜñĎšðśü÷ĒúąñĎšéĎĒúǰ(Empowerment)
ĻÖćøÿøšćÜÙüćöøĂïøĎšÿč×õćóéšćîÖćøĒóì÷ŤĒñîĕì÷ǰ(Literacy)
Continuity of Care
ĻÖćøéĎĒúêŠĂđîČęĂÜĔîßčößîǰ(Community care)
Ļ ÖćøêĉéêćöĂćÖćøĀúĆÜÖćøøĆÖþćǰ(Follow up)
ĻÖćøüĉîĉÝÞĆ÷đóČęĂÿĉĚîÿčéÖćøøĆÖþćǰ(Finalized diagnosis)
Discharge
Ļ ÖćøðøąđöĉîđóČęĂüćÜĒñîÝĞćĀîŠć÷ǰ(Discharge planning) øŠüöÖĆîÖĆïÿĀüĉßćßĊóǰ(Multidisciplinary team meeting)
Ļ ÖćøðøąđöĉîĒúąêĉéêćöÖćøøĆÖþćĒêŠúąüĆîǰ(Reassessment)
ĻÖćøøĆÖþćêćöĒîüìćÜðäĉïĆêĉđüßÖøøöĕì÷ǰ(TTM guideline)
Care Delivery
Ļ ÖćøøĆÖþćêćööćêøåćîÖøöÖćøĒóì÷Ť/øćßüĉì÷ćúĆ÷ǰ(CPG)
ĻÖćøüćÜĒñîéĎĒúøĆÖþćøŠüöÖĆïÿĀüĉßćßĊóǰ(Multidisciplinary team planning)
ĻÖćøøĆÖþćêćöĒîüìćÜðäĉïĆêĉđüßÖøøöĕì÷ǰ(TTM guideline)
Care Planning
Ļ ÖćøøĆÖþćêćööćêøåćîÖøöÖćøĒóì÷Ť/øćßüĉì÷ćúĆ÷ǰ(CPG)
ĻÖćøüĉîĉÝÞĆ÷ÝĞćĒîÖÙüćöøčîĒøÜǰ(Diagnosis & Classification)
Ļ ÖćøêøüÝøŠćÜÖć÷đóČęĂðøąđöĉîĂćÖćøǰ(Patient Assessment): Barthel index/Impairment
Assessment & Dx
ĻÖćøàĆÖëćöðøąüĆêĉÖćøđÝĘïðśü÷ǰ(History taking)
ĻÖćøïĆîìċÖךĂöĎúÿŠüîïčÙÙúǰ(Personal data)
Ļ ÖćøúÜìąđïĊ÷î÷Čî÷ĆîêĆüêîđךćÿĎŠøąïïǰ(Identification)
Access & Entry
ĻÖćøÙĆéÖøĂÜđïČĚĂÜêšîǰ(Screening): New case/Refer back/Walk in/Re-admit ìĊęđךćđÖèæŤǰIMC
