THE THINGS YOU NEED TO UNDERSTAND AND BE PREEMPT ABOUT WHEN TAKING CARE NOTES.
What are daily care notes?
Daily care notes are formal records, detailing the care delivered to an individual client. Recording daily care notes can support Professional Carers in capturing a more complete, personalised record of the needs, challenges and activities of the individuals in their care. Care notes are an essential part of the documentation process, and the information can be used to record changes, or review and update care plans.
Daily care notes also provide an integral channel of communication between staff, and they reflect the situation of care delivery within an organization. They may note changes in the client’s health, demeanor, or in their mood.
- Always make sure you have the correct time and date: This may seem like a no-brainer, but if this isn’t documented accurately, it can cause all types of issues for the client and the careers who are responsible for providing care. Notes should be able to be read at the start of each shift, so all Care Professionals have the knowledge to understand what type of support may be needed.
- Be concise: In preparing any care note for your client try to be concise and quick to the point. There shouldn’t be any type of jargons, abbreviations or acronyms. This could lead to confusion and misunderstandings when going through notes. Ensure that the notes are easy to read and understand for everyone involved in the client’s care.
- Be objective: Avoid including unnecessary details when taking care notes. The priority is the client and their well-being, so it’s important to be objective and to not include any emotionally charged language. It’s best to keep to the facts and to note down the information that’s most relevant.Download Birdie’s free care management paper template pack! In this pack you’ll find printable templates for care planning, MAR chart, body maps and a client profile template, along with examples of how to fill in these templates. Download your free pack today!
This is where FAMA ELDER CARE COMPANION should come to your mind while choosing a reputable caregiving organization. Visit us today to secure a professional caregiver for your loved ones.