Question

How should subjective statements by the patient be documented?

a. With your initials
b. Preceded by "patient said...."
c. Leave that part out of charting
d. In parentheses

Answer 1

Subjective statements made by the patient should be documented by preceding them with "patient said..." in medical charting.

Step-by-step explanation:

Subjective statements made by the patient should be documented by preceding them with "patient said...". This helps to clearly indicate that the following statement is the patient's own perspective or experience. For example, if a patient says, "I have been feeling tired lately," it should be documented as "patient said, 'I have been feeling tired lately.'" This ensures accurate and objective record-keeping.