Question

Discuss two different Approaches to Progress Notes

Answer 1

Progress notes are the part of clinical records where the health care professionals record details to document a patient's clinical status or achievements during the course of hospitalization.

Reassessment data may be recorded in progress notes,MASTER TREATMENT PLAN.

Progress notes are written in a variety of formats and detail, depending on the clinical situation at hand and the information the clinician wishes to record. One example is the SOAP note, where the note is organized into Subjective, Objective, Assessment, and Plan sections.

Another example is the DART system, organized into Description, Assessment, Response, and Treatment.Documentation of care and treatment is an extremely important part of the treatment process. Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization.