Record patient’s physical and behavioral status.
Recording should include
- physical illness
- neurological check
- vital signs
- response to medication
- abnormal behaviors
- assessments.
Process/Skill Questions:
- What are the normal ranges of adult vital signs?
- What illnesses might require that intake and output records be maintained? Are intake and output records maintained at mental healthcare facilities?
- To whom should the MHT report observations regarding the patient’s response to medications?
- How do facilities document physical and behavioral changes?