Clinical documentation can significantly affect a nursing home's survey results, reimbursement received, and most importantly, resident care. Yet, little formal training is given on how to complete this complicated, and often confusing, process. With so much at stake, it's critical that nurses have a resource they can turn to in order to help achieve accurate, comprehensive documentation for all residents. Clinical Documentation provides a step-by-step approach to ensuring your documentation is complete and accurate, including coverage of: common conditions encountered in long-term care presented in a straightforward, list format, system assessments to help identify problems, all the documentation resources nurses need to use every day. Save time, ease confusion, and avoid the legal implications of improper documentation with Clinical Documentation as your daily guide. Book jacket.