jeburke23
New
I'm currently reviewing a case where a new patient is downplaying the severity of his current issue, infection of big toe, and denying any other current health issues to the provider. His wife is documented as stating that the patient has diabetes and high blood pressure, has had several cases of non-compliance with his diabetic and blood pressure medication as well as sudden unexplained weight loss along with the reason for the visit.
Would the patient's wife be considered an independent historian at this point due to her providing this information? The patient does not have any type of cognitive delays only an unwillingness/stubbornness to acknowledge his current state. Which is what has caused my hesitation to consider the wife as an independent historian.
Would the patient's wife be considered an independent historian at this point due to her providing this information? The patient does not have any type of cognitive delays only an unwillingness/stubbornness to acknowledge his current state. Which is what has caused my hesitation to consider the wife as an independent historian.