Asserts that, although the need to keep client records is clear, there is little information available as to how to construct client record. Presents guidelines for what data should be contained in intake summaries, along with assessments, treatment plans, case notes, and other supplemental materials. (Author/NB)

This booklet describes the lessons learned in introducing a computer system in a nursing home. It is suggested that a computer system can open up channels of communication, increase accountability, reduce time spent on paperwork, satisfy the information needs of regulators, and improve resident care planning. Criteria for selecting a computer…