DA form 4700 template - United States Army
|PATIENT/FAMILY TEACHING FORM |
|(OUTPATIENT) |
|Documentation codes |
|LEARNER: |METHOD: |EVALUATION: |
|Pt =Patient |V = Videotape G = Group |V = Verbalize instruction |
|Sp = Spouse |1 =1:1 Discussion O = Other |D =Demonstrates : no assistance needed |
|M = Mother |D =Demonstration |DP = Demonstrates w/physical assistance |
|F = Father |A = Audio-tape |DV = Demonstrates w/verbal assistance |
| |P = Printed Instruction |NR = Needs reinforcement |
| | |N = No evidence of learning |
|DATE |LEARNER |EDUCATION NEEDS |METHOD |EVALUATION |SIGNATURE |
| | |Asthma “Survival Skills” | | | |
| | |1. Identify early warning signs of an asthma | | | |
| | |attack |V/D/P |V/D | |
| | |2. Demonstrate the correct technique for | | | |
| | |using a press and breathe inhaler with and |V/D/P |V/D | |
| | |without spacer | | | |
| | |3. Identify quick relief and long term | | | |
| | |controller medications |V/D/P |V/D | |
| | |4. Demonstrate correct techniques for using | | | |
| | |a peak flow meter |V/D/P |V/D | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- united states army airborne requirements
- united states army airborne school
- united states army airborne divisions
- united states army ranks
- united states army aviation museum
- united states army sqi list
- united states army advanced airborne school
- united states army flag
- united states army jumpmaster school
- united states army divisions
- army da form 5500 automated
- army da form 5704 r