[HN]

Council: Dermatology referral if not improved with curent treatment plan.=1

Council: Evaluate for potential skin infection=1
[%%HN]
Council:Steriod cream BID (risk/benefits).=P
Council:Medrol dose pack (risk/benefits).=P
*D=P
Council -Keep feet dry/clean.=P
Council- Avoid harsh chemicals.=P
Council- Avoid temperature extremes.=P
Council -Manage stress.=P
Council- Avoid excessive skin washing.=P
Council- Try avoid scratching area.=P
***=P
Council: Evaluate for skin infection=P
Council: Shoes (Buying and fiting).=P
Council (Shoe) Multiple shoe evaluated.=P

[%%H]
DISCONTINUE:=P
Steriod cream use (not helping)
Steriod cream (Worsens condition)
------------------------=S
Council:Steriod cream BID (risk/benefits).=S
Council:Medrol dose pack (risk/benefits).=S
*D=S
CONTINUE AVOIDING:=P
temperature extremes,=P
excessive skin washing,=P
harsh chemicals,=P
avoid scratching area.=P
************************=P
at this time. CONTINUE:=P
CONTINUE:=P
*************************=P
Keeping feet (dry/clean)=P
stress management=P
Council:Steriod cream BID (risk/benefits).=S
Council: Zyrtec (risk/benefits).=S
Council: Evaluate for skin infection.=S
Council: Shoes (Buying and fiting).=S
Council (Shoe) Multiple shoe evaluated.=S
[H]
Council: Dermatology referral if not improved with curent treatment plan.=1
Council: Evaluate for potential skin infection.=1

[%%TX1]
Begin:=P
Continue:=P
Discontinue:=P
Topicort cream (BID use)=P
Aristocort cream (BID use)=P
---H=P
Temovate (BID use)=P
Lidex (BID use)=P

[TX1]
at this time.=1
continue for 1 wk depending on symptoms=1
continue for 2-3 wks depending on symptoms=1
until next visit=1
until finished=1
until dermatological consult.=1
at this time. (Dermatological consult).=1
##################################
Severe rash- Dermatological consult.=1

(refilled)=S
then discontinue=S
Will watch dermatitis for now seems to be resolving=S
----------------------------------------ICH=S
Begin: Zyrtec (puritis) until puritis resolves=S
Continue: Zyrtec (puritis) until puritis resolves=S
Discontinue: Zyrtec=S

***=1
Defers (treatment). Patient request just councilling on condition=1

###################################################################################
###

[AN]
Council: Dermatology referral if not improved with curent treatment plan.=1
Council: Evaluate for potential skin infection=1
[%%AN]
Council:Steriod cream BID (risk/benefits).=P
Council:Medrol dose pack (risk/benefits).=P
*D=P
Council -Keep feet dry/clean.=P
Council- Avoid harsh chemicals.=P
Council- Avoid temperature extremes.=P
Council -Manage stress.=P
Council- Avoid excessive skin washing.=P
Council- Try avoid scratching area.=P
***=P
Council: Evaluate for skin infection=P
Council: Shoes (Buying and fiting).=P
Council (Shoe) Multiple shoe evaluated.=P

[AF]
DISCONTINUE:=P
Steriod cream use (not helping)
Steriod cream (Worsens condition)
------------------------=S
Council:Steriod cream BID (risk/benefits).=S
Council:Medrol dose pack (risk/benefits).=S
*D=S
CONTINUE AVOIDING:=P
temperature extremes,=P
excessive skin washing,=P
harsh chemicals,=P
avoid scratching area.=P
************************=P
at this time. CONTINUE:=P
CONTINUE:=P
*************************=P
Keeping feet (dry/clean)=P
stress management=P
Council:Steriod cream BID (risk/benefits).=S
Council: Zyrtec (risk/benefits).=S
Council: Evaluate for skin infection.=S
Council: Shoes (Buying and fiting).=S
Council (Shoe) Multiple shoe evaluated.=S

[AF]
Council: Dermatology referral if not improved with curent treatment plan.=1
Council: Evaluate for potential skin infection.=1

[%%TX2]
Begin:=P
Continue:=P
Discontinue:=P
Topicort cream (BID use)=P
Aristocort cream (BID use)=P
---H=P
Temovate (BID use)=P
Lidex (BID use)=P

[TX2]
at this time.=1
continue for 1 wk depending on symptoms=1
continue for 2-3 wks depending on symptoms=1
until next visit=1
until finished=1
until dermatological consult.=1
at this time. (Dermatological consult).=1
##################################
Severe rash- Dermatological consult.=1
(refilled)=S
then discontinue=S
Will watch dermatitis for now seems to be resolving=S
----------------------------------------ICH=S
Begin: Zyrtec (puritis) until puritis resolves=S
Continue: Zyrtec (puritis) until puritis resolves=S
Discontinue: Zyrtec=S
***=1
Defers (treatment). Patient request just councilling on condition=1

###################################################################################
##

[DF]
DEFERS
at this time=1
---------------------------------=1
at this time. Council: (Use/benefits/risks) discussed. DEFERS (may consider in
future)=1
Council: (Use/benefits/risks) discussed. DEFERS (may consider in future)=1
-----------------------------.=1
steriod cream=1
dermatology consult=1
Zyrtec=1

[%%DF]
Council: (Use/benefits/risks). DEFERS:=P
steriod cream,=P
dermatology consult,=P
Zyrtec,=P
________FUTURE=P
Council: (Use/benefits/risks). May consider in future-DEFERS at this time=P

[%%D]
DISPENSED: (ABN sheet signed, (Fitted, use instruction)--=P
DISPENSED: (Fitted, instructional use)--=P

[D]
this date.=1

[%%A] ACTIVITY
Continue (Weightbearing)=P
Continue (Weightbearing) with crutch assistance=P
Continue (Weightbearing) with walker assistance=P
*=P
Continue (Nonweightbearing) with crutch assistance=P
Continue (Nonweightbearing) with roleabout=P
Continue (Nonweightbearing) with walker=P
**=P
Begin (Nonweightbearing with crutch assistance)=P
Begin (NWB-with roleabout)=P
Begin (Nonweightbearing with walker assistance)=P
***=P
Begin (PWB) in=P
****=P
Begin (Weightbearing) to tolerance in=P

[A]
Activity level should remain at a minimal=1
Activity (Minimal) to tolerance=1
(Minimal) till pain substantially improves, then progress to normal activity to
tolerance=1
---=1
Continue activity level at current pace but do not exceed=1
Slowly increase activity level to tolerance=1
Resume normal activity level to tolerance=1
Continue normal activity to tolerance=1

[%QUESTION]
Dermatitis (new) council=HN|HA
Dermatitis council=H|HA
TX1=TX1|HA
***********************=Z|HA
Rash (new) council=AN|HA
Rash council=AF|HA
TX2=TX2|HA
##################=Z1|HA
Defers=DF|HA
Dispensed=D|HA
Activity level=A|HA