Focus charting in rehabilitation.
The two-page focus charting outline (see Figure 1) is most appropriate for a rehabilitation unit. Functional activities such as mobility and activities of daily living are emphasized, while the cardiovascular, respiratory, and gastrointestinal areas are grouped together under the "physical" focus heading. When used correctly, focus charting is complete, orderly, and effective. It meets professional and legal standards and the requirements of third-party payers. Utilization reviewers easily can spot progress, or lack of it, after a few days. Research and audit information can be retrieved readily using the focus headlines. The progress notes are clear and easy for other nurses and other disciplines to review. This promotes communication among the entire healthcare team and ultimately promotes continuity of care. Focus charting is efficient and effective when used by nurses to focus on patient problems and strengths.
Griffiths
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D006801:Humans; D009737:Nursing Records; D012046:Rehabilitation / Q000451:nursing* / Q000592:standards