Managing Patient Expectations: The Art of Finding and Keeping Loyal Patients Susan Baker Provider Sponsored Organizations: Emerging Opportunities for Growth Allan Fine and Colleen E. Dowd Case Law in Health Care Administration (2nd ed.) George D. Pozgar The Handbook of Managed Behavioral Healthcare: A Complete and Up‐to‐Date Guide for Students and Practitioners Gayle L. Zieman

Women with HIV are a growing at-risk population in our communities. They are often poor members of minority groups who have responsibilities for dependent children and other family members. They may experience physiological, psychological, and social symptoms and have needs that are unique to them as women. The purpose of this study was to give women with HIV the opportunity to identify their needs. Using the Objects Content Test, 48 women attending HIV clinics in a midsouth city listed 349 needs: 32% psychosocial, 14% physical, 13% service and maintenance, and 11% financial and legal. It is important for nurses working with these women in the community to know how they perceive their own needs and issues to plan and provide effective health care programs for this growing group of clients.

C lients travel along the continuum of care with their health care records. Today, as never before, a greater number of caregivers depend on the accuracy of the documentation in client records to provide appropriate treatment. Many of those caregivers will never meet the occupational health nurses who have charted information about clients. Instead, these colleagues will judge professionalism from chart entries or case summaries. Although there are many things that cannot be controlled in client care, one aspect of health care delivery that can be controlled is the accuracy, consistency, and comprehensiveness of documentation. The true purpose of documentation is to improve the quality of care offered. When records are kept carefully and consistently, they help every member of the treatment team provide better care. In addition to enhancing quality, careful documentation also can discourage lawsuits. In the event a client decides to see an attorney, the attorney usually has two factors to consider when deciding whether or not to file a suit. The first is the client's story, which is probably not favorable. The second is the

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EDITOR'S NOTE Susan Keane Baker was the opening speaker of the symposium on Veterinary Teaching Hospitals and the Future of Clinical Veterinary Medical Education, held in November of 2006 in Kansas City, Missouri. A nationally known consultant on communication in human health care, Ms Baker offered a number of helpful insights on improving veterinarian–client relationships by managing the client's expectations. This article captures some of those insights and provides food for thought.