Probably a dumb question.......but my brain is absolutely fried at the moment, so bear with me.
My patient assesments are to be written up in "narrative form" this quarter. So rather than just answering each numbered question on my assesments, I type up the assesment in paragraphs like I'm telling a story right?? Is that right, or am I way off? Any feedback would be appreciated! :spin:
Apr 2, '05
I would start out, "Alert oriented X4. Speech clear. Maked eye contact. Hand grasp stron and equal." and so on through all systems or head to toe. Include quotes for subjective data such as: Patient states "It hurts to take a deep breath."