Documentation Guidelines

• Response to staging: Emotional and physical response to diagnostic testing, healing of incisions, signs of ineffective coping, response to diagnosis, ability to participate in planning treatment options, response of significant others

• Response to treatment: Effects of chemotherapy or radiation therapy, or both; response to treatment of symptoms, presence of complications (weight loss, infection, skin irritation)

• Emotional state: Effectiveness of coping, presence of depression, interest in group support or counseling, referrals made

0 0

Post a comment