In your PCR, you write that you "felt the patient does not take good care of herself" and that you "think she really needs a family member to step in and manage her situation."This has violated which standard of good documentation?

Question

Quizplus · Accepted Answer

The statements are subjective opinions rather than objective facts, violating the standard of objectivity in documentation. Good documentation should be based on observable facts and not on personal judgments or opinions.

In Your PCR, You Write That You "Felt the Patient