What types of documents are included in client charts?

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Client charts are comprehensive documents that play a vital role in the continuity of care for clients in various settings. They typically include a range of information essential for the healthcare team to understand the client's history, treatment plan, and progress.

The inclusion of data forms, care plans, progress notes, and incident reports in client charts provides a holistic view of a client's health status and care journey. Data forms contain important baseline information, while care plans outline the specific approaches and interventions tailored to meet the client's needs. Progress notes document any changes or updates in a client's condition, ensuring that all team members are informed and can provide cohesive care. Incident reports are critical for recording any unexpected events that may affect the safety and well-being of the client.

Other options provided do not encapsulate the breadth of documentation typically found in client charts. Some may focus solely on isolated aspects, such as only medication records or external documents, which are not sufficient on their own to form a complete picture of the client's care and ongoing needs.

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