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Critical Appraisal Assignment
Pages 6 (1506 words)
Critical Appraisal Assignment Name: Institution : Course: Tutor: Date: Introduction Documentation in the profession of nursing can be defined as the process of keeping timely, accurate and relevant medical records of patients that a nurse has handled (Lippincott Williams & Wilkins, 2007, p36; and Lippincott Williams & Wilkins, 2006, p48).
In addition, the care giver also records the measures that he has taken in response to the patient’s needs, evidence that he has comprehended and pleased the responsibility of care, has taken all reasonable steps to care for the patient and that any action or exclusion has not put into compromise patient’s health. The documentation also includes a record of any arrangements the nurse has made for the continuing care of a patient or client (Delaune & Ladner, 2006, p68). The documentation process in nursing is carried out for various reasons that may include some of the following. The law in most of the countries requires that health practitioners who come into contact with patients should keep health records of the patients that they handle, these records are supposed to include a brief record of the patient’s medical history and the care that the health practitioner gives the patient (Guido, 2006, p72). In addition, the number of litigations against nurses has increased due to the increased public awareness of their rights therefore the documents act as evidence in courts of law of the care that the nurse gave the patient. ...
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