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Documentation of person-centred care - what does that mean?

Information deemed necessary for a safe care is communicated within health care on a daily basis. Where possible this information may be passed on to the patient according to his/her needs and wishes. A structured and systematic documentation is necessary to ensure quality and continuity in health care.

Today documentation in health care is carried out using an IT based journal system. A condition for a person-centred perspective is that the patient’s narrative is included in their journal and that a personal health plan is created. The plan can be seen as a mutual agreement on a goal and action-plan towards improved health between care giver and patient.

It is a professional challenge to be able to document a full picture of the person’s health status using the medical record system. At GPCC we are working towards making this possible.

Page Manager: Jeanette Tenggren Durkan|Last update: 1/8/2016

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