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Related Concept Videos

Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Legal Guidelines for Documentation01:06

Legal Guidelines for Documentation

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Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.

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Related Experiment Video

Updated: May 19, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Advanced directives and code status documentation in an academic practice.

Elizabeth Wheatley1, Mark K Huntington

  • 1Sioux Falls Family Medicine Residency Program, Sioux Falls, SD 57105, USA.

Family Medicine
|August 30, 2012
PubMed
Summary

While more geriatric patients in Sioux Falls have advance directives (AD) than the national average, over half lack documentation. Patient living situation significantly impacts AD and code status, highlighting a need to focus on independent living individuals.

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Last Updated: May 19, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Area of Science:

  • Geriatric Medicine
  • Palliative Care
  • Healthcare Policy

Background:

  • Advance directives (AD) ensure patient autonomy in end-of-life care, yet national AD prevalence is below 20%.
  • Geriatric populations have a higher need for AD due to declining health.
  • Physician practices regarding AD and code status in this demographic require investigation.

Purpose of the Study:

  • To assess how physicians address advance directives (AD) and code status in geriatric patients.
  • To compare AD and code status documentation between attending and resident physicians.
  • To identify factors influencing AD and code status completion in the elderly.

Main Methods:

  • Retrospective chart review of 121 geriatric patients (age >65) at Sioux Falls Family Medicine Residency Program (SFFMRP).
  • Analysis of patient living situations (nursing home, assisted living, independent living).
  • Chi-square analysis to evaluate statistical significance.

Main Results:

  • 44% of all geriatric patients had an AD; prevalence was higher in nursing home (80.6%) and assisted living (76%) residents compared to independent living (21%).
  • 55% of patients had a known code status, with 100% in nursing homes and 92% in assisted living, versus 25% in independent living.
  • No significant difference in AD or code status documentation was observed between attending and resident physicians.

Conclusions:

  • SFFMRP geriatric patients show higher AD rates than the national average, but over half lack documented directives.
  • Patient living situation is a critical factor influencing AD and code status documentation.
  • Targeted interventions for independent living geriatric patients are needed to improve AD and code status completion.