What should a nurse do if assessing a patient with bruising who denies abuse?

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Documenting the assessment findings when a patient presents with bruising, even if they deny abuse, is essential for several reasons. First, thorough documentation serves as a crucial record of the patient's condition and any potential concerns regarding their safety. It provides a legal record that may be important if patterns of injury emerge or if further investigation into the patient's situation is necessary in the future.

Furthermore, detailed documentation allows healthcare providers to track changes in the patient's condition over time and to consider any emerging patterns that may warrant further evaluation or intervention. This documentation is not only valuable for the current care team but also acts as a resource for any other professionals who might be involved in the patient's care later.

In situations dealing with potential abuse or neglect, taking the patient's report seriously while still documenting all findings ensures that the nurse is upholding their professional responsibility while also maintaining the patient's dignity. It is a critical step in ensuring comprehensive care and safeguarding the patient's well-being, even before further action may be required based on the findings.

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