World Physiotherapy aims to improve the quality of global healthGlobal health: An area for study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. Global health emphasises transnational health issues, determinants, and solutions; involves many disciplines within and beyond the health sciences and promotes interdisciplinary collaboration; and is a synthesis of population based prevention with individual-level clinical care. See full list of glossary terms service delivery by strengthening agreed professional standards that recognise the importance and legal requirement for accurate and comprehensive documentationDocumentation: The process of recording of all aspects of patient/client care/management including the results of the initial examination/assessment, evaluation, diagnosis, prognosis/plan, intervention/treatment, response to intervention/ treatment, changes in patient/client status relative to the intervention/treatment, re-examination, and discharge/discontinuation of intervention and other patient/client management activities. See also RecordView full list of glossary terms and records.
DocumentationDocumentation: The process of recording of all aspects of patient/client care/management including the results of the initial examination/assessment, evaluation, diagnosis, prognosis/plan, intervention/treatment, response to intervention/ treatment, changes in patient/client status relative to the intervention/treatment, re-examination, and discharge/discontinuation of intervention and other patient/client management activities. See also RecordView full list of glossary terms and records management include recordRecord: An account that contains information (in any media) intended to document actions, events or facts. The International Organization for Standardisation defines records as information created, received, and maintained as evidence and information by an organisation or person, in pursuance of legal obligations or in the transaction of business. See also Clinical recordView full list of glossary terms keeping, storage, retrieval and disposal. Physiotherapists have a professional and legal obligation to document and maintain as appropriate up-to-date patientPatient: An individual who is the recipient of physical therapy and direct interventions. A person for whom a health service accepts responsibility for treatment and/or care. Individuals who are recipients of physical therapy may also be referred to as clients or service users. See also Client, Service userView full list of glossary terms/clientClient: a person, group or organisation eligible to receive services either directly or indirectly from a physiotherapist. The client is: an individual who is not necessarily sick or injured but who can benefit from a physiotherapist’s consultation, professional advice, or services; or a business, school system, and others to whom physiotherapists offer services. See also Patient See also Service userView full list of glossary termsrecordRecord: An account that contains information (in any media) intended to document actions, events or facts. The International Organization for Standardisation defines records as information created, received, and maintained as evidence and information by an organisation or person, in pursuance of legal obligations or in the transaction of business. See also Clinical recordView full list of glossary terms.
To support implementation, you can access the World Physiotherapy guideline on documentation and record management.