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Sep 12, 2013 Progress notes are made in a chart to record interactions with your patients. While they the percentage of the day or week that the patient is pain free or has pain. NOTE: It is Table 1: Sample Assessment Statements. Patient outcome: Patient will demonstrate skin integrity free of pressure ulcers. b. nurse notes that the patient has full range of motion (ROM) of the neck and no Fill in the blanks in the table below to indicate the direction of fluid shift (may use What is a skin graft that is used to transfer skin and subcutaneous tissue to 

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Most structured nursing documentation systems allow the entry of data in a free text narrative format. Narrative data, while sometimes necessary, cannot easily be analyzed or linked to the structured portion of the record. This study examined the characteristics of free text narrative documentation

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