I understand your pain, however, pt charts are legal documents. When notes are not done correctly to include proper spelling or grammar there are adverse effects. The bottom line is that it could harm...
@giada23 I can see why you are doing what you do when it comes to documenting. I use to be a Medical Assistant Instructor and we did teach that we have to document what the patient states and to do it...
I am writing a thesis and need a lot of help...Currently writing about the importance of proper documenting. I have a mini survey, I am hoping you can help with. 1. What type of documenting system do...
jennahousern replied to NursesRus's topic in General Nursing
dear lcamp85, i am sorry to hear that you are not loving your new career. but i think that this is completely fixable. if you really hated it, you would have not finished the program. you do like...
For a Psychosocial Care Plan, how about "Impaired Parenting"? If depressed, "Hopeless"? "Impaired Social Skills"? I am just throwing out ideas to get the juices in your brain
At this point I would say for you to try and do something to relax. You have done everything you can to prepare and you either know it or you don't. I would rest, go for a walk, get a pedicare, be...
I agree with ashleyisawesome and I would change the phrasing to: Pt is an unemployed 41 year consequently living at home and unable to provide for his child. Then adding diagnosis, or reason for...