You have been called for an 86-year-old man who fell. The patient is incontinent and has an ulcerative rash beneath his adult diaper. During your assessment, you also find many bruises to his body in various stages of healing. The son reports that the patient fell getting out of bed; however, the daughter-in-law states that the patient fell while getting dressed. Which of the following is the BEST example of how to document the patient's history in your PCR?
A) "Family members are unable to provide accurate history of event."
B) "Son states that the patient fell while getting out of bed; daughter-in-law states that the patient fell while getting dressed."
C) "The patient may have fallen while getting out of bed, or while getting dressed."
D) "Family members are unable to agree upon history of event, causing suspicion for elder abuse."
B
Health Professions