Documentation Guidelines

• Physical response: Vital signs, physical assessment, signs of infection, signs of bleeding, ability to tolerate activity

• Response to chemotherapy or radiation treatments

• Emotional response to the diagnosis of cancer or the use of reverse isolation

• Comprehension of treatment plan, including care: Purpose and potential side effects of radiation and chemotherapy; bone marrow transplant

• Presence of complications: Infection, bleeding, poor wound healing, ineffective coping by the patient or significant others

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