Focus Charting(R) is a process-driven documentation format that supports outcomes based care. It has applications in every care setting and for all care givers. Included in this edition: new chart forms, updated samples of focus notes from a variety of clinical settings and disciplines, applications for long-term care and skilled care, plus an expanded description of how to use focus notes in place of a plan of care.
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From Chapter 1: Communication: This is the most important reason for writing in the chart. You are a professional with a specific area of expertise. For the patient to benefit, you must communicate to other team members the assessment, plan, actions, and patient response. The chart provides for all the team members, who cannot meet face to face every day, an ongoing record.
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