Documentation Hazards for Geriatric Patient Care

Credit

Handouts/Brochure

Speaker

Rachel Henderson, PhD, MS, RN, HCRM Related seminars and products

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Rachel Henderson, PhD, MS, RN, HCRM, is a nationally recognized expert on healthcare law, nursing documentation, and regulatory compliance. With over two decades of experience as a legal nurse consultant, senior leadership roles, and healthcare risk manager, she brings real-world case studies to life in her engaging and informative presentations.

Dr. Henderson is a published author in peer-reviewed journals and textbooks and a sought speaker known for her ability to simplify complex legal and regulatory issues. She is a proud member of the National Speakers Association and a past president of the Florida Speakers Association.

In addition to leading Medical Legal Concepts, LLC, she collaborates with law firms and healthcare organizations, analyzing medical records for compliance with standards of care and applicable regulations. She has served as an expert witness in medical negligence for both plaintiffs and defendants.

Dr. Henderson holds a PhD in Public Policy and Administration, with a focus on Law and Policy. This degree equips her with deep expertise in healthcare regulations, ethics, and legal accountability.

 

Speaker Disclosures:
Financial: Dr. Rachel Henderson has an employment relationship with Medical Legal Concepts. She receives royalties as a published author and compensation as a legal nurse consultant. Dr. Henderson receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Rachel Henderson is a member of the American Association of Critical Care Nurses, the American Society of Healthcare Risk Managers, and the American Society of Professionals in Patient Safety.

Additional Info

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Objectives

1. Determine how scribes are effectively used in clinical practice. 
2. Differentiate between state staffing and federal staffing requirements.  
3. Choose an implementation practice to manage polypharmacy. 
4. Apply the standards of pain assessment to medical record entries. 
5. Analyze physical findings that could represent forensic evidence.   
6. Determine if a patient has malnutrition from medical record entries. 
7. Analyze the current issues that may violate resident rights in long term care. 

Outline

• Aide in managing documentation of physicians 
• Charting estimated requirements 
• Qualifications of scribes 
• Accountability of medical record entries and treatment plan 

• Competence and capacity 
• Four dimensions of competence 
• Biological age compared to numerical age 
• Logical considerations 

• Contributes to rising health care cost 
• Frailty measurement instruments 
• Delaying declines and promoting resilience outcome 

• Staffing requirements 
• Basic care and resident rights 
• Clinical measures of poor quality 
• State deficiencies 

• Coordination of multiple prescribers 
• Brown Bag review 
• Medication reconciliation  
• Mediation appropriateness 
• Psychotropic medication specific concerns 

• Limitations to accurate assessment of pain 
• Guidelines for pain management 
• Regulatory standards 

• Identify patients with malnutrition 
• Screening tools 

• Documentation tools for elder abuse and neglect 
• Improve documentation of potential forensic injuries 
• Online resources 

• Rights of residents in nursing homes 
• Substance use 
• Resident-to-resident aggressive behavior 
• Staff-resident abuse 

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants
• Physicians
• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech Language Pathologists
• Social Workers
• Nursing Home Administrators