Nursing Documentation in Aged Care: A Guide to Practice
Christine Crofton, Gaye Witney
Ausmed Publications, 2004 - Medical - 321 pages
Nursing documentation is often seen as a tiresome chore - although this is an understandable view, the reality is that in addition to meeting ethical and other professional requirements the good performance of documentation in aged care can add to the nurse's personal satisfaction with their role. This book shows how nursing assessments, care plans, and progress notes can allow nurses to share their knowledge, observations, and skills - and thus make a crucial contribution to their own professional lives and to the quality of life of those in their care. More than a 'how-to-do-it' workbook, with contributions from a range of experts this comprehensive evidence-based textbook explores the issues surrounding documentation and reveals the importance of professional communication within multidisciplinary teams.
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Understanding Nursing Documentation I
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accurate achieve aged-care nursing analysis appropriate assessment tool assist Ausmed behaviour best practice Chapter clinical governance clinical pathways clinical reasoning complementary therapies comprehensive consent continuous quality improvement decision theory dementia desired outcomes discussed Documentation in Aged documentation practices documentation process documentation system Doreen effective emotional ensure entries essential ethical evaluative criteria evidence-based practice example Guide to Practice guidelines holistic hypoglycaemia identify implementation of clinical important Incident Reports interdisciplinary healthcare team interventions involved issues Model for Documentation NCPs needs nurse managers Nursing assessment Nursing Care Plans nursing diagnosis Nursing Documentation nursing practice nursing process nursing staff nursing-care plan ongoing organisation organisation's pain person policies problems procedures progress notes recognised record reflect registered nurse relevant resident resident-centred residential aged residential aged-care facilities respect to documentation responsibility restraint selection staff members standards stoma strategies understanding valid