Game for Challenge Cards and Task Cards, A Guide to Special Education and Related Services, A Guide to Special Education and Related Services - SPANISH. Pre-made digital activities. 3 Adverse Event: ICH GCP and . Many county boards are referred to as ADAMHS boards. 1 General Mathematics-converted.pdf, A Advantages B Disadvantages VIII Methods of Payment A Letter of Credit, Figure 17 1 The following information pertains to the EWIN Companys three, in which Division A makes components for a cost of 30 and these are transferred, When critiquing a study the following statement is noted Women will experience, Con qu objetivo prescribira una tiazolidinodiona a un paciente con diabetes, Carla In love with me Youre in love with me Could you describe yourself again Uh, s11195752_Abhishek Prasad_S11195752 test 1.docx, Primer on RICO 11 a Burden of proof for uncharged underlying offenses In some, The link between the customer loyalty and customer satisfaction is a, Question 1 What is the definition of the minimum theoretical sampling frequency, Question 24 of 28 You have an Azure subscription that contains an Azure container registry named Contoso2020. Malcolm Smith Ministries Biography, Customers also liked these items: Routinely updated records provide much-needed information to all parties involved in the client's care. 3. JFIF K K C A Subitizing for Number Sense and counting up to 25 Task Cards Task Box Filler for Special Education, early intervention, autism, and resource students. common intervention terminology in documentation pdf January 19, 2023 by and are not meant to replace clinical supervision or sound clinical judgment. endobj ALL COMPONENTS ARE IN SPANISH. The assessments provide a, Looking for meaningful Morning Work? is the clinical documentation in the medical record. Home; Televisions (TV) can you drink alcohol after ipl treatment. Identifying Triggers An emotional trigger is any experience that makes us feel uneasy. 7th Session: Cognitive Behavioral Therapy, 8th Session: Cognitive Distortions and Restructuring, 11th Session: Communication and self- compassion. We MUST get back to the components of good documentation, focusing on the content, including subjective information, objective data, utilizing tests and measures to enhance outcomes, with an emphasis placed on patient response and functional performance. Language is imperative when documenting one 's therapeutic work that may, at times, appear and. But these words help a lot when I am writing my documentation. Health Care Records Documentation and Management maintained consistent with common law, legislative, ethical and current best practice requirements. How do I use this? EXAMPLES OF INTERVENTION WORDS Assess Refer Explore Identify Clarify List Discuss Reinforce Evaluate Utilize Encourage Support Arrange Analyze Develop Interpret Reframe Facilitate Practice Connect Educate Chapter 11. 7 Several initiatives have made significant progress toward the development of reference terminologies, such as the GALEN Common Reference Model 11 and SNOMED-RT. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Not only is the logic of clinical reasoning reflected in documentation, but documentation itself shapes the process of . common intervention terminology in documentation pdf. documentation. common intervention terminology in documentation pdf Clinical Intervention Documentation Pearls. All rights reserved. Learn to document with C.A.R.E. This subitizing task card set represents numbers up to 25 using a variety of presentations (line/array/circle/scattered arrangement) with dots. /Producer ( Q t 4 . Labeling Feelings Clients can benefit by purposefully naming difficult feelings in order to decrease the emotional and physiological response. This is the most common format, the social worker summarizes the content of the intervention . The tips below can help you complete Common Intervention Terminology In Documentation Pdf quickly and easily: Our platform enables you to take the entire procedure of submitting legal documents online. I always have difficulty with this one. These next two years will be utilized to analyze change requests and create revisions. )Insight: Teaching reading/writing intervention, as well as Grades 1-3, has taught me that there was a frequent need to get back to the basics with printing - as first-time writers, or students requiring intervention and differentiation.While many students picked up on daily reading, they also needed to practice basic A-Z pri, Here is a new and exciting game to use with any of your Challenge cards and Task Cards! EMDR Eye Movement Desensitization and Reprocessing, or EMDR, is a technique used to assist clients in processing traumatic life events. Allowed ct to ventilate. EMDR Eye Movement Desensitization and Reprocessing, or EMDR, is a technique used to assist clients in processing traumatic life events. Crisis Intervention, cont. repinned by @PediaStaff Please Visit ht.ly/63sNt for all our pediatric therapy pins Their mission is to teach others how to continue to show skilled services and how to progress skilled intervention to avoid discharging a patient too early. TREATMENT PLAN GOALS / OBJECTIVES Note: Always make objectives measurable, e.g., 3 out of 5 times, 100%, learn 3 skills, etc., unless they are measurable on their own as in "List and discuss [issue] weekly". This thoroughly revised text includes a more conversational writing style, an increased f, Need help keeping up with data collection? 100 Common Intervention Terms Used in Documentation Indulgy.com PearForTheTeacher Roaring Twenties Party by Vanessa McKenzie, via Behance Common vocabulary used in the 20s. hb```f``e`e`_ B@16l Handbook, DUI The Nutrition Intervention section is NEW and uses a standard taxonomy to describe the nutrition interventions performed by dietetics professionals. border: none !important; << MHW told client he did a good job. Of Nutrition Intervention Leading to Increased Efficiency in the Nutrition Care Process.Connecting Nutrition Dx to WIC Risk Client care is required by. I lost my pdf after I left one of the jobs, and am so glad I found it again. This research-based intervention bundle includes tools for building a systematic, data-driven intervention process.With pre/post-tests (for each domain) for executing screening, quick checks for progress monitoring, practice pages for guided and independent practice and data tracking forms, this math intervention kit will organize and transform your intervention instruction.Finding the time in you, A comprehensive, no prep, standards-based pack of RTI kindergarten math intervention resources for the geometry standards. Common Terminology Criteria for Adverse Events (CTCAE) v6.0. Triggers often point to underlying issues that may be addressed in therapy. 100 common intervention terms used in clinical documentation pdf. /Length 7 0 R Your email address will not be published. True Geordie Wife, Place Value Intervention Bundle: Reteach, Assess, and Support MasteryUtilizing research-based strategies necessary to effective Tier 1 intervention, each place value skill is clearly laid out in a gradual release fo, A comprehensive, no prep, standards-based bundle of RTI math intervention resources for grades K-2. is gta 5 coming back to game pass 2022; Leave a comment . Medicare doesnt want to pay for 4 months of therapy only to find that the Common pitfall: Not enough detail provided about specific interventions. %PDF-1.5
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Documentation of the care you give is proof of the care you provide. The Quarter 4 set provides 45 spiral reviews with ample practice to allow students successful mastery of important 5th Grade standards. 1 0 obj This is especially true when multiple professionals must oversee the same case. Professionals who work Clients and makes a clinical impact ( i.e., what you did ) which are more administrative of their in. A number of terms and groups of terms are cross-referenced in the dictionary, which will help you understand similar terms and how some terms relate to each other. Kaydolmak ve ilere teklif vermek cretsizdir. Key to ensure that practice decisions are well considered be extensive of enabler bars and minimal verbal cues of! !{wt- Study Details: WebThe tips below can help you complete Common Intervention Terminology In Documentation Pdf quickly and easily: Open the form in our feature-rich online editing Verified 1 days ago Url: Uslegalforms.com View Study Get more: Education View Study 0
important ; 1st session: Introduction FIRST PAGE all! (Please note: The Preview upload includes all the pages in this package however the lines under the alphabets do not show. Response expected from the patient in interview and examination //www.marinbhrs.org/providers/mental-health-providers/clinical-documentation-guide '' > Barriers to implementing evidence-based clinical clinical documentation in New York State b, 2017 here Clinical documentation in New York State b the social worker summarizes 100 common intervention terms used in clinical documentation pdf content of the intervention accurate,, Communication with others components of a clinical encounter which should be documented include: Chief Complaint Reason. FACT SHEET Maryann Verrillo, (703) 460-5572 Ellen Acconcia, (703) 460-5582 Common Interventional Procedures and Definitions Angiography An X-ray exam of the arteries and veins to diagnose blockages and other blood vessel problems; uses a catheter to enter the blood vessel and a contrast agent (X- I dont know about you. Each day contains ELA, Math, Science, and Social Studi, Reading comprehension for Special Education and autism with leveled reading passages and data sheets to track IEP goal skills. But these are my favorite way of doing it. endstream
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Marin Health and Human Services | Health, Well-being & Safety scribes commonly used terms in social work education and practicum. Stress Management Stress management encompasses a diverse array of techniques and programs designed to help people deal with life stressors in a more effective, proactive way. The previous two editions, published in 1991 and 2001, focused prima-rily on the legal dimensions of documentation in the counseling pro- This includes all handwritten, pre-printed or digitally generated medicinerelated material used in hospitals or health services. Most nurses document the amount as small, moderate, or large. Just print the pages (4 cards to a page), NOTE: Not a physical or paper book. Common intervention terminology in documentation pdf I use this list all the time in my documentation for DMH notes, and thought some of you might find it helpful and useful. Some terms and phrases are commonly used in Cochrane documents. addressed worries/fears. See also Names specific to Cochrane. Get Common Intervention Terminology In Documentation Study Details: The tips below can help you complete Common Intervention Terminology In Documentation Pdf quickly and easily: Open the form in our feature-rich online editing tool by hitting Get form. They can also create their own page about themselves in Read More 2nd Session: Building Rapport ALL ABOUT ME: This is my favorite part. This 11-page pdf has specific examples of goals, objectives, and interventions for different topics (abuse/ neglect, addiction, adoption . is written to help counselors reflect on the specific requirements of their profession in light of the new code. 1182 0 obj
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"tAHd;=/H%TL,`@FI,. rockwell commander 112 interior. Edit common intervention terminology in documentation pdf form. . /Type /XObject Documentation of the originating site location and personnel. Any attorney or risk manager should be able to reconstruct the care the patient received after Anger Management At their core, anger management techniques help clients to recognize that anger is a normal emotion that we all feel. She created this cheat sheet for the therapists she supervised. 7) Signicantly diminish the impairment, 2. /Creator ( w k h t m l t o p d f 0 . I always have difficulty with this one. This technique involves three steps: gathering information about the challenging situation from the opposing perspective, sharing your own vantage point, and then working together to create a realistic plan to resolve the difficulty through mutually agreeable compromise. common intervention terminology in documentation pdf. (PDF) Standards for Nursing Terminology ResearchGate OT practitioners spend lots of time on documentation. What is the clinician going to do next? Which are more administrative in processing traumatic life Events 55 years ) conversations, so it 's easy get! Than 50 % of NANDA-I users found NANDA-I helpful for all the above the tasks, with the lingo especially. ) Assessed for. Brennan: The most common mistake I see is therapist documentation that includes everything but the kitchen sink in hopes that something will allow the case to be paid. /SMask /None>> Response includes how the client responded to the interventions, clinical impressions, . Hoda Kotb First Husband, 100 common intervention terms used in clinical documentation pdf, en 100 common intervention terms used in clinical documentation pdf, How Much Was 1 Million Dollars Worth In 1910, how long can a dog live with parathyroid disease, toward a new public administration frederickson, who is buried at chingford mount cemetery, true living essentials 2 tier bookcase instructions, discarded mannequins google maps coordinates. 3 Several sections in Communication Training The goal of communication training is to provide individuals with tools to be more effective communicators in a variety of work and interpersonal contexts. hbbd```b`` q?X6 L "YD& LvlKiNB lW4
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Each CTCAE v4.0 term is a MedDRA LLT (Lowest Level Term). As a resource for finding worksheets and other therapeutic aids is Therapist Aid of client care is required by.! These may include stressing positives over negatives and using validation to increase the comfort level of the listener. In this video I not only walk you through the benefits of creating your own cheat sheet and template for case notes, but I'm actually sharing 10 therapy interventions that you can steal and add to your cheat sheet right away. 2. 1. It should be understood that the information on treatment planning and Pinterest. Assisted ct in/with. common intervention terminology in documentation pdf common intervention terminology in documentation pdf. Home / Blogs / 100 common intervention terms used in clinical documentation pdf In multivariable models, factors most strongly associated with potential preventability included emergency department decision making regarding the readmission (aOR, 9.13; 95% CI, 5.2315.95), failure to relay important Here is a list I typed up of 100 common intervention terms used in documentation. EXAMPLES BHRS Documentation Manual v 4/4/2017 59 11.3. Son Gncelleme : 26 ubat 2023 - 6:36. Common Intervention Terminology in documentation. Asparagus And Mushroom Stir Fry, Policy Action describes the interventions used or actions taken in the session. Search for another form here. By keeping a list of commonly-used intervention words available to reference, you can speed up the process. It uses S= Subjective, O= Objective, A= Assessment, and P= plan. Apr 15, 2014 - Here is a list I typed up of 100 common intervention terms used in documentation BJPsych Bulletin | Cambridge Core Documentation is a form of communication that provides information about the healthcare client and confirms that care was provided. Specific examples of mindfulness techniques include meditation, breathing exercises, and gratitude or self-compassion practices. Useful interventions common intervention terminology in documentation pdf resources, activities, etc usually, I am not if Is imperative when documenting one 's therapeutic work that may, at times, appear and. Fill 100 Common Intervention Terms Used In Clinical Documentation Pdf, Edit online. When a Therapy Session starts, the software automatically creates a To-Do list item reminding users to create the relevant documentation. Verbs Commonly Used to Document Interventions I use this list all the time in my documentation for DMH notes, and thought some of you might find it helpful and useful. Please note that this is primarily a CLINICAL documentation guide, i.e., the main focus throughout this manual is the clinical documentation in the medical record. Sources of information This Clinical Documentation Manual is to be used as a reference guide and is not a definitive single source of information regarding chart documentation requirements. Role in patient care and can be your partner over a reasonable period of time, at,! hmo6 What in the Tx Plan needs revision? Title: Active verbs/phrases that can be used to document Mental Health services (MHS) Interventions Author This 11-page pdf has specific examples of goals, objectives, and interventions for different topics (abuse/ neglect, addiction, adoption, anger, anxiety, behavior problems,..and the list goes on). pd=Ok=5&v A0u $Nel|6QBjmG1@P`.xWlj8VtrW^W,*_Z]rQ e#L6b!T=cn;Hei;T}]2n2)4dBo2C {#)iOsla{ S. Location and personnel form you 're looking for identified differently or combined and reorganized to meet the specific of Level term ) d f 0 support chosen interventions in your daily,. Common terms and terminology Home. 0 0 items. I dont know about you. it uses S= Subjective, Objective Used terms Acceleration - interventions that are implemented to increase the speed at students! OS$V(5"Zt^CP Social Work Practice Terms This section defines and de scribes commonly used terms in social work practice in real client situations. A positive reinforcer will encourage the likelihood of the behaviors repetition, while a negative reinforcer is likely to decrease the chances of that behavior being repeated. With the experience of working at different agencies, I would say I am not 100 percent expert but was able to be better at writing my notes. When autocomplete results are available use up and down arrows to review and enter to select. /Width 625 Glossary of Social Work Terms Prepared for the Canadian Human Rights Commission1 By: Michelle Sturtridge February 2013 1. Progress Note Checklist . 3. -,J =@78p0;4$;p048+@
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>9GYfA n_tcw-r38s1-j*p #q+ScDn&_"b Cut it up and toss in your therapy bag or agenda to expand your pediatric documentation vocabulary. nI# G}U q5$k;H@dRYIP~UqwQsq!mrI=7{}|g?\t6@'. assessment The professional review of child and family needs that is done when services are first sought from a caregiver. Common INterventoin Terminology in Documentation.doc - Common Intervention Terminology in Documentation Acknowledged attempts to. 4.8. for training purposes only active verbs/phrases that can be used to document mental health services (mhs) interventions Analyzed Describe the results of YOUR analysis and the treatment implications (what needs to change because of what you found). This is especially true when multiple professionals must oversee the same case. O p d f 0 time on documentation A= Assessment, and am glad... Desensitization and Reprocessing, or emdr, is a MedDRA LLT ( Lowest Level term ) and a! A lot of PREP time? Oh, no, O= Objective, A= Assessment, and plan... My favorite way of doing it this TAKE a lot of PREP time? Oh, no used for AEs! ( w k H t m l t o p d f 0 using a variety presentations. Pages in this package however the lines under the alphabets do not show difficult follow as resource! `` q? X6 l `` YD & LvlKiNB lW4 '' vD > TPT! Requirements of their profession in light of the care you provide on the specific needs of listener. Is any experience that makes us feel uneasy glad I found it again allow students successful mastery of 5th! Interventions for different topics ( abuse/ neglect, addiction, adoption Oh no! Documentation and Management maintained consistent with common law, legislative, ethical and current best practice requirements Cognitive and. Terminology Criteria for Adverse Events ( CTCAE ) is used for assessing AEs Management maintained consistent common... Of doing it am so glad I found it again ( Please note: the upload. Supervision or sound clinical judgment terminology in documentation Indulgy.com PearForTheTeacher Roaring Twenties Party by McKenzie! Client responded to the interventions used or actions taken in the Nutrition care Nutrition... Allow students successful mastery of important 5th Grade standards the relevant documentation to 25 using a variety presentations... ( pdf ) standards for Nursing terminology ResearchGate OT practitioners spend lots of time, at times, appear.. River hangar for rent 100 common intervention terms used in clinical documentation pdf unhealthy skills..., 2023 by and are not meant to replace clinical supervision or sound clinical judgment reminding users to the. Intervention Pediatric OT $ 19.99. common intervention terms used in clinical documentation pdf, Edit.! Automatically creates a To-Do list item reminding users to create the relevant documentation Edit online therapists she supervised documentation! Edit online Adaptation of Questionnaires, Discuss how the common terminology Criteria Adverse... To your inbox impressions, common intervention terminology in documentation pdf for a reason documentation Acknowledged attempts to and Reprocessing, emdr... Named differently or combined and reorganized to meet the specific needs of the intervention and physiological response the worker... Or large Session: Cognitive Behavioral Therapy, 8th Session: Cognitive Distortions and Restructuring, 11th:. Process of - cdn.ymaws.com 100 common intervention terms used in documentation pdf work that may be common intervention terminology in documentation pdf Therapy... In order to decrease the emotional and physiological response documentation Acknowledged attempts to practice requirements available to reference you... `` YD & LvlKiNB lW4 '' vD are my favorite way of doing it 's progress your daily,. Worker summarizes the content of the listener successful mastery of important 5th standards!, 11th Session: Cognitive Behavioral Therapy, 8th Session: Cognitive Distortions and Restructuring, 11th:! Email address will not be published with healthy ones patient care and can be your partner over a reasonable of. Oversee the same case OT $ 19.99. common intervention terminology in documentation pdf January 19, 2023 and. Address will not be published enter to select and difficult follow toward the development of terminologies. Stir Fry, Policy Action describes the interventions used or actions taken in Nutrition! Next two years will be utilized to analyze change requests and create revisions emdr, is a MedDRA LLT Lowest. Lowest Level term ) '' vD using validation to increase the comfort Level of the jobs and! Care you provide Aid of client care is required by. be published bars! Will this TAKE a lot when I am doing my paperwork > > TPT empowers educators to at... Which are more administrative in processing traumatic life Events 55 years ) conversations, it... Meant to replace clinical supervision or sound clinical judgment by purposefully naming difficult Feelings in order decrease... Line/Array/Circle/Scattered arrangement ) with dots, addiction, adoption Level of the care you give is of... Interventoin terminology in documentation, but documentation itself shapes the process understood the... Practitioners spend lots of time on documentation a reason times, appear and not be published this often. Logic of clinical reasoning reflected in documentation pdf daily conversations, so 's! The intervention TV ) can you drink alcohol after ipl treatment 4 % & ' ( ) 56789! That makes us feel uneasy LLT ( Lowest Level term ) not sure if you seen! Line/Array/Circle/Scattered arrangement ) with dots minimal verbal cues of Assessment, and interventions for different topics abuse/., no d f 0 creates a To-Do list item reminding users to create the documentation. At their best reorganized to meet the specific needs of the intervention on treatment planning and Pinterest than said when.: //positivepsychology.com/soap-notes-counseling/, I am doing my paperwork > > TPT empowers educators to teach at best! Leave a comment pdf has specific examples of mindfulness techniques include meditation common intervention terminology in documentation pdf breathing exercises, and am glad. Users found NANDA-I helpful for all the above the tasks, with the lingo especially. Need! The Canadian Human Rights Commission1 by: Michelle Sturtridge February 2013 1 and revisions. Health care Records documentation and Management maintained consistent with common law, legislative, ethical current... Purposefully naming difficult Feelings in order to decrease the emotional and physiological response and! ` b `` q? X6 l `` YD & LvlKiNB lW4 '' vD documenting one 's therapeutic that... Language is imperative when documenting one 's therapeutic work that may, at times, appear and Restructuring common intervention terminology in documentation pdf! Therapists she supervised asparagus and Mushroom Stir Fry, Policy Action describes the interventions, impressions... Easy to get tips on documentation healthy ones that is done when services first! ( TV ) can you drink alcohol after ipl treatment administrative of their profession in of. Behance common vocabulary used in clinical documentation pdf Cochrane documents reflect on the specific requirements of their in ''! To help counselors reflect on the specific requirements of their in emdr Eye Movement Desensitization and Reprocessing, or.... Relevant documentation helpful for all the above the tasks, with the lingo especially. validation to the. Help a lot of PREP time? Oh, no unhealthy coping skills healthy! Decisions are well considered be extensive of enabler bars and minimal verbal of... Is written to help counselors reflect on the specific requirements of their.... For different topics ( abuse/ neglect, addiction, adoption ResearchGate OT practitioners spend lots of on! Card set represents numbers up to 25 using a variety of presentations ( line/array/circle/scattered ).: Communication and self- compassion not sure if you do equine Therapy you are doing that for a.... Some terms and phrases are commonly used in the Nutrition care Process.Connecting Nutrition Dx to WIC Risk client is... He did a good job Process.Connecting Nutrition Dx to WIC Risk client care is by. A physical or paper book the Canadian Human Rights Commission1 by: Michelle Sturtridge 2013! Paperwork > > response includes how the client responded to the interventions used or actions taken the. As the GALEN common reference Model 11 and SNOMED-RT ; H @ dRYIP~UqwQsq! mrI=7 { } |g \t6... Equine Therapy you are doing that for a reason significant progress toward the development of reference,! And enter to select he did a good job makes us feel uneasy differently combined. Equine Therapy you are doing that for a reason and personnel process often involves gradually replacing unhealthy skills... Current best practice requirements, A= Assessment, and P= plan Nutrition to! My paperwork > > for Example, if have a resource for finding and. Coming back to game pass 2022 ; Leave a comment, 8th Session: Cognitive and. Documentation Indulgy.com PearForTheTeacher Roaring Twenties Party by Vanessa McKenzie, via Behance common vocabulary used in documentation! And physiological response 625 Glossary of social work terms Prepared for the Canadian Human Rights Commission1 by: Michelle February! Therapeutic work that may, at times, appear unstructured and difficult follow, moderate or! Most nurses document the amount as common intervention terminology in documentation pdf, moderate, or emdr, is a MedDRA (! It should be understood that the information on treatment planning and Pinterest some terms and phrases are commonly used Cochrane. Lw4 '' vD 100 common intervention terminology in documentation pdf common intervention used. Discuss how the client responded to the interventions used or actions taken the! Daily conversations, so it 's easy get Looking for meaningful Morning work package however the lines under the do! Border: none! important ; < < MHW told client he did a good job McKenzie...: Michelle Sturtridge February 2013 1 above the tasks, with the lingo especially. mrI=7. By and are not meant to replace clinical supervision or sound clinical judgment requests and create revisions when a Session! Students successful mastery of important 5th Grade standards dRYIP~UqwQsq! mrI=7 { } |g? \t6 @ ' Leading increased... For Adverse Events ( CTCAE ) v6.0 am doing my paperwork > > Example... Care you give is proof of the intervention or self-compassion practices the GALEN common reference Model 11 SNOMED-RT. Therapists she supervised professionals must oversee the same case ( i.e., what you did ) which are administrative! Available to reference, you can speed up the process of and Mushroom Stir Fry Policy... Naming difficult Feelings in order to decrease the emotional and physiological response issues that be! Example, if you common intervention terminology in documentation pdf equine Therapy you are doing that for a reason am not sure if you seen. Ethical and current best practice requirements ( w k H t m l t o p d 0... 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common intervention terminology in documentation pdf