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Documentation of Psychiatric Nursing

The reason a psychiatric beneficiary is homebound will often be related to the psychiatric disorder. Objective documentation of these criteria is important.

Be sure to document your observation and assessment of the psychiatric disorder:

  • Changes in condition, increased signs and symptoms
  • The changes in the beneficiary's treatment or medication
  • Effectiveness of medications
  • Administration of medication by injection (and documentation why an oral medication is not effective for beneficiary)

Posted: 09.28.11

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