8 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. Concerns about the effectiveness and side effects of the client's medications were communicated to the physician. E. Although the client was monitored for side effects from the medications, he/she reported no concerns in this area. 14. Organiz e Medications (14) 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. C. The client was tested on his/her understanding of the use of the medication compliance packaging/reminder system. D. The client was provided with positive feedback about his/her regular use of the pillbox to organize his/her medications. E. The client has not used the pillbo x to organize his/her medications and was redirected to do so. 15. Coordinate Medication Compliance Oversight (15) A. Family members and/or caregivers were instructed on how to regularly dispense and/or monitor the client's medication compliance. B. Family members and/or caregivers indicated an understanding of how to monitor the client's medication compliance. C. The client's medication compliance was reviewed, and family members and/or caregivers indicated that he/she is regularly medication compliant. D. Family members and/or caregivers indicated that the client is not medication compliant, and this was reviewed with the client. 16. Arrange for a Physical Examination (16) A. A full physical examination was arranged for the client, and the physician was encouraged to prescribe remediation programs to aid the client in performing ADLs. B. A physician examined the client, and specific negative medical effects of low functioning on ADLs were identified. C. The physician has identified specific recomme ndations to help remediate the effects of the client's poor ADL skills. D. The physician has not identified any physical effects related to the client's poor performance on ADLs. E. Specific ADL remediation behaviors were reviewed with the client. 17. Refer to a Dentist (17) A. The client was referred to a dentist to determine dental treatment needs. B. Specific dental treatment needs were identified, and ongoing dental treatment was coordinated. C. No specific dental treatment needs were identified, but a routine follow-up appointment was made. D. The client has not followed through on the referral for dental services and was redirected to do so. 