single line, add asterisks to call attention to the correction, and include the date, time, and your initials. True or False If you realize you made a mistake in the documentation, but it is prior to completing your entry, you should erase immediately and then properly document your entry. Section Summary This section discussed standards for effective documentation. It covered the importance of writing legibly, recording dates clearly and consistently, using plain language, writing objectively, and correcting mistakes in the appropriate way. Section 5: Confidentiality and Ethical Practice What is Confidentiality? The person you support has the right to expect privacy in all aspects of the services you provide to them. Therefore, ethical standards for supporting people who have disabilities include making sure that none of their personal information is disclosed to another party unless they have permission from the individual or their guardian. Ethical standards for supporting people who have disabilities include making sure that none of their personal information is disclosed to another party unless they have permission from the individual or their guardian. Furthermore, when you have permission to disclose information you must make a reasonable effort to disclose only the minimum amount of information required to achieve the purpose of the disclosure. Only disclose the specific information requested for which you have permission to disclose, and no more. Be certain that you are familiar with, and adhere to, the privacy laws and rules associated with documentation in your state and at your agency. Respect and Dignity Your obligation to protect confidentiality goes beyond not sharing their information with people who do not have permission to receive that information. You must also respect the dignity of the person you support. Everything you write or communicate about the person you support should express the most respectful attitude possible. Do not write information about the person that might unnecessarily embarrass the person or demean them in the eyes of others, even those with permission to receive information about the person. Claude’s Embarrassment Claude lives independently in his own apartment, and makes use of support staff to help him with some of his physical needs. These include getting a bath in the evening, getting dressed and undressed, grooming, and preparing food. Early in the morning yesterday, Claude woke up with stomach cramps and within an hour was feeling like he needed to throw up. He called his new morning support person, Brian, and asked him if he would come over and assist him. Brian wasn’t scheduled to start working with Claude until 9 am, but said he was happy to come over early. Since Brian lived across town, it took him 30 minutes to get to Claude’s house. During that time , Claude had thrown up several times and had begun to also have diarrhea. Claude was significantly embarrassed by the mess that Brian had to help him with, but Brian was very nice and handled things professionally.
- Spring '14
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