Asked by: Farida Fayeasked in category: General Last Updated: 21st April, 2020
Why is documentation necessary in patient teaching?
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Likewise, people ask, why is it important to have proper documentation?
Documentation help ensure consent and expectations. It helps to tell the narrative for decisions made, and how yourself or the client responded to different situations. In this same manor, it is important to record information that can help support the proper treatment plan and the reasoning for such services.
Similarly, what is the purpose of nursing documentation? In nursing research, documentation is used to assess nursing interventions and evaluate client outcomes, identify care and documentation issues and advance evidence-based practice. Nurses are required to make and keep records of their professional practice.
Thereof, what is the purpose of documentation in healthcare?
The purpose of complete and accurate patient record documentation is to foster quality and continuity of care. It creates a means of communication between providers and between providers and members about health status, preventive health services, treatment, planning, and delivery of care.
What is proper documentation?
Proper documentation provides evidence of what has transpired as well as provides information for researching discrepancies. Supporting documentation may come in paper or electronic form. In recent years, more often, official supporting documentation has moved from paper based to electronic forms.