20 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client was provided with positive feedback as he/she displayed the ability to adhere to his/her medication regimen. E. The client displayed a lack of understanding about his/her medications, has failed to adhere to his/her medicati on regimen, and was directed to have others dispense his/her medications to him/her. 16. Organize and Monitor Medications (16) A. The client was provided with a pillbox for organizing and coordinating each dose of his/her medications. B. The client was taught about the proper use of the medication compliance packaging/reminder system; he/she was tested on his/her understanding of the use of the medication compliance packaging/reminder system. C. The client was provided with positive feedback about his/h er regular use of the pillbox to organize his/her medications. D. The client has not used the pillbox to organize his/her medications and was redirected to do so. E. The number of pills left in the client's prescription of psychotropic medications was co unted and compared with the expected amount that should remain. F. Discrepancies within the expected and actual amounts of medications remaining were reviewed with the client and medical staff. G. The client's remaining medications correspond with the am ount expected to remain, and this was reviewed with the client. 17. Coordinate/Facilitate Multiple Physicians' Communication (17) A. Authorizations from the client to release confidential information were obtained so that multiple physicians can communic ate with each other regarding the medications that are prescribed. B. The client's physicians were contacted regarding the use of multiple medications and encouraged to consult with each other regarding the client's overall medication needs. C. The clien t declined to provide authorizations to release confidential information for his/her multiple physicians. D. The client's multiple physicians worked together to provide a coordinated review of his/her complete medication regime. E. Specific changes in th e client's medication regime were instituted after his/her multiple physicians conferred. F. No changes have been made subsequent to the client's multiple physicians conferring. G. The client's multiple physicians have not been in regular contact to revi ew his/her variety of medications. 18. Evaluate and Develop Support for ADLs/IADLs (18) A. The client's overall level of functioning in ADLs and IADLs were evaluated, identifying strengths, weaknesses, and expected future levels of functioning. B. Conce rns about the client's ability to perform his/her ADLs and IADLs in the future were identified. C. Specific supports were developed for helping the client to maintain his/her ADLs and IADLs. 