Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy
Autor Lori Quinn, James Gordonen Limba Engleză Paperback – 11 oct 2024
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Specificații
ISBN-13: 9780323694308
ISBN-10: 0323694306
Pagini: 304
Dimensiuni: 216 x 276 x 12 mm
Greutate: 0.52 kg
Ediția:4
Editura: Elsevier
ISBN-10: 0323694306
Pagini: 304
Dimensiuni: 216 x 276 x 12 mm
Greutate: 0.52 kg
Ediția:4
Editura: Elsevier
Cuprins
SECTION I Key Aspects of Clinical Documentation
1. Disablement Models and the ICF Framework
2. Essentials of Documentation
3. Legal Aspects of Documentation
4. Standardized Outcome Measures
5. Payment Policy and Coding
6. Electronic Medical Records
SECTION II Documenting the Initial Evaluation and Beyond: A Case-Based Guide
7. Clinical Decision-Making and the Initial Evaluation Format
8. Documenting Reason for Referral: Health Condition and Participation
9. Documenting Activities
10. Documenting Impairments in Body Structure and Function
11. Documenting the Assessment: Summary and Diagnosis
12. Developing and Documenting Effective Goals
13. Documenting the Plan of Care
14. Session Notes and Progress Notes Using a Modified SOAP Format
15. Special Formats: Screening Evaluations, Discharge Summaries, Letters, and Patient Education Materials
16. Documentation in Pediatrics
1. Disablement Models and the ICF Framework
2. Essentials of Documentation
3. Legal Aspects of Documentation
4. Standardized Outcome Measures
5. Payment Policy and Coding
6. Electronic Medical Records
SECTION II Documenting the Initial Evaluation and Beyond: A Case-Based Guide
7. Clinical Decision-Making and the Initial Evaluation Format
8. Documenting Reason for Referral: Health Condition and Participation
9. Documenting Activities
10. Documenting Impairments in Body Structure and Function
11. Documenting the Assessment: Summary and Diagnosis
12. Developing and Documenting Effective Goals
13. Documenting the Plan of Care
14. Session Notes and Progress Notes Using a Modified SOAP Format
15. Special Formats: Screening Evaluations, Discharge Summaries, Letters, and Patient Education Materials
16. Documentation in Pediatrics