Rationale
A particular diagnosis may
suggest the use of certain treatments or the likely course and
outlook for the service user with the condition. Information on how
the diagnosis or diagnoses was reached should be included in the
care record.
A diagnosis or diagnoses should be recorded and explained to the
service user and informal carer. This includes access to
information about the condition as well as the support and
resources that may be available in the community.
Examples of evidence required to meet standard
14:
- Diagnostic assessment document/s
- Space in care plans for service users to confirm that the
diagnosis has been explained to them
- Information leaflets/booklets used locally
- Resource packs for staff
- Resource/information packs for users and/or carers