An A record of something a care actor has seen, heard, or noticed in relation reference to the health of or social wellbeing of a personthe Subject of care. These can include objective and subjective observations and can be made recorded by both healthcare professionals and non-professional.
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and/or other care actors.
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Observations are recorded by a Care Actor and refer to the Subject of care.
AnObservationisperformedin a Locationandmultiple Care Actors could be involved. Observations influence Assessments, Care plans and Instructions, as well as being a trigger forReviews.
Observations recorded as part of social care provision including:
Needs
Risks
Wishes
Circumstance (including Environment)
Some Observations would typically be recorded as part of healthcare provision such as:
and should be shared with adult social care providers and included in an Adult Social Care record.