Author Question: Records can be withheld from patients if the records may cause harm to the patient the patient is ... (Read 113 times)

dollx · **on:** Jun 25, 2018

Records can be withheld from patients if

the records may cause harm to the patient
the patient is entering a long-term care facility
there is an impending lawsuit
the physician does not like the patient

Question 2

As it relates to patient education, which of the following should be documented in the patient's chart?

Implementation
Assessment
Plan
All of the above

ally · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

the records may cause harm to the patient

Rationale: The doctrine of professional discretion states that records can be withheld from patients if the information can be reasonably expected to cause harm to the patient such as those associated with psychiatric, drug, and alcohol treatments.

Answer to Question 2

All of the above

Rationale: The medical chart should document the assessment, plan, implementation, and evaluation of patient education.