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Domestic violence and healthThe response of the medical profession$
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Emma Williamson

Print publication date: 2000

Print ISBN-13: 9781861342157

Published to University Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861342157.001.0001

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date: 16 August 2017

Documentation and naming

Documentation and naming

Chapter:
(p.133) Ten Documentation and naming
Source:
Domestic violence and health
Author(s):

Emma Williamson

Publisher:
Policy Press
DOI:10.1332/policypress/9781861342157.003.0011

This chapter deals with the issue of documentation, which was an area of concern in the stage-one interviews. Examining the issues of culpability, documentation, confidentiality, and the medical record is important, as it is through the written patient record that medical complaints become integrated in medical discourse, through research and the acknowledgement of clinical practice. There are a number of issues that relate both directly and indirectly to the use of medical records, including: the use of medical records in training; legal discourses; as an event itself within the medical encounter; as representative of the hierarchy which exists between different healthcare professionals; naming; recording; and the appropriation of the sick role.

Keywords:   medical record, legal document, documentation, medical encounter, confidentiality, sick role

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