Question # 63

Which documentation practice best supports both continuity of care and legal defensibility?

Options:

A.

Recording only the date and the phrase “wound improved”

B.

Providing serial objective measurements, tissue descriptions, treatment response, and the clinical rationale for any change in plan

C.

Copying the previous day’s note without updating measurements

D.

Omitting patient-reported pain scores because they are subjective

Viewing question 63 out of 76 questions
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