The two types pf observation are ______________ and ______________
Reporting is done ______________ and ______________
Documentation, recording or chatting becomes part of the client’s
Some of the guidelines for documentation are
______________ describes client’s health condition and physical limitations, it describes plan that care givers must follow.
Medical records are legal documents and the contents are
Report changes observed in your client even if it is not important or you are unsure about it
_____________ document before concluding a task.
Knowingly releasing private information to persons not authorized to receive it amounts to
_________________ immediately so you don’t forget important points.
The __________________ has benefit to up to date information on your client’s condition and can make changes if needed.
Documentation should be _______________