Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy

Ensure confident clinical decisions and maximum reimbursement in a variety of practice settings such as acute care, outpatient, home care, and nursing homes with the only systematic approach to documentation for rehabilitation professionals! Revised and expanded, this hands-on textbook/workbook provides a unique framework for maintaining evidence of treatment progress and patient outcomes with a clear, logical progression. Extensive examples and exercises in each chapter reinforce concepts and encourage you to apply what you've learned to realistic practice scenarios. INDICE: I: THEORETICAL FOUNDATIONS1. Disablement Models, ICF Framework and Clinical Decision Making2. Essentials of Documentation3. Legal Aspects of Documentation 4. Standardized Outcome Measures  NEW!5. Payment Policy and Coding6 Electronic Medical RecordsII: COMPONENTS OF PHYSICAL THERAPY DOCUMENTATION7. Clinical Decision Making and the Initial Evaluation Format  8. Documenting Reason for Referral: Health Condition and Participation9. Documenting Activities10. Documenting Impairments11. Document the Assessment: Summary and Diagnosis 12. Developing and Documenting Effective Goals13. Documenting the Plan of Care14. Documenting Session Notes and Progress Notes Using a Modified SOAP Note Format15. Special Formats: Documenting Screenings, Discharge Summaries, Letters and Patient Education Materials16. Documentation in Pediatrics  ReferencesAppendix A:  Guidelines: Physical Therapy Documentation of Patient/Client ManagementAppendix B: Rehabilitation AbbreviationsAppendix C: Answers to ExercisesAppendix D:  Documentation Review Sample Checklist  Appendix E: Strength and Range of Motion Forms

• ISBN: 978-0-323-31233-2
• Editorial: Saunders
• Encuadernacion: Rústica
• Páginas: 288
• Fecha Publicación: 13/02/2016
• Nº Volúmenes: 1
• Idioma: Inglés