Documentation for Rehabilitation- E-Book

Other | August 7, 2013

byLori Quinn, EdD, PT, Lori Quinn, James Gordon, EdD, PT...EditorLori Quinn

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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.

  • UNIQUE! Combination textbook/workbook format reinforces your understanding and tests your ability to apply concepts through practice exercises.
  • UNIQUE! Systematic approach to documenting functional outcomes provides a practical framework for success in numerous practice settings.
  • Case studies show you how to format goals through realistic client examples.
  • Practice exercises provide valuable experience applying concepts to common clinical problems.
  • Four NEW chapters address additional aspects of documentation that rehabilitation professionals will encounter in practice:
    • Legal aspects of documentation
    • Documentation in pediatrics
    • Payment policy and coding
    • Computerized documentation

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From the Publisher

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 maintaini...

Format:OtherDimensions:288 pages, 1 × 1 × 1 inPublished:August 7, 2013Publisher:Elsevier Health SciencesLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0323266363

ISBN - 13:9780323266369

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Extra Content

Table of Contents

I. Theoretical Foundations & Documentation Essentials1. Disablement models, ICF Framework, and Clinical Decision Making 2. Essentials of Documentation 3. Legal Aspects of Documentation -New4. Clinical Decision Making and the Initial Evaluation Format

II. Components of Physical Therapy Documentation5. Documenting History: Background Information and Health Condition 6. Documenting History: Participation and Social History 7. Documenting Activities 8. Documenting Impairments in Body Structure and Function 9. Documenting the Assessment: Summary and Diagnosis 10. Documenting Goals 11. Documenting the Plan of Care 12. Daily Notes and Progress Notes using a Modified SOAP Format

III. Additional Documentation Forms13. Specialized Documentation 14. Documentation in Pediatrics -New15. Payment Policy and Coding -New16. Computerized Documentation -New

ReferencesAppendix A. Guidelines for Physical Therapy Documentation Appendix B. Rehabilitation Abbreviations Appendix C. Answers to Exercises Appendix D. Sample Evaluation Forms