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Physical Therapy Documentation: From Examination to Outcome [Minkštas viršelis]

  • Formatas: Paperback / softback, 250 pages
  • Išleidimo metai: 30-Apr-2008
  • Leidėjas: SLACK Incorporated
  • ISBN-10: 1556427824
  • ISBN-13: 9781556427824
Kitos knygos pagal šią temą:
  • Formatas: Paperback / softback, 250 pages
  • Išleidimo metai: 30-Apr-2008
  • Leidėjas: SLACK Incorporated
  • ISBN-10: 1556427824
  • ISBN-13: 9781556427824
Kitos knygos pagal šią temą:
Disablement is a theme used throughout this text for new and experienced physical therapists and students, emphasizing the identification of impairments, functional deficits, and participation restriction, as well as the importance of how they are interrelated. Throughout the book, language from the World Health Organizations International Classification of Functioning, Disability, and Health (ICF) is used. The book is also correlated to the Nagi model, which is well-known to most physical therapists, to help provide a bridge from the older model to the contemporary model. Early chapters can be used sequentially in an introductory course to set up basic rules for documenting. Later chapters provide practice for writing notes and cover outcomes, reimbursement, and legal and ethical issues. Case studies demonstrate note-writing across the continuum of care. Sample forms and a glossary are included. Erickson is affiliated with West Virginia University. Annotation ©2008 Book News, Inc., Portland, OR (booknews.com) Complete and accurate documentation is one of the most essential skills for a physical therapist to develop and use effectively. Necessary for both new and experienced practitioners, Physical Therapy Documentation: From Examination to Outcome will teach and explain physical therapy documentation from A to Z. Physical Therapy Documentation covers all of the fundamentals for prospective physical therapists preparing to work in the clinic or clinicians looking to refine and update their skills. Dr. Mia Erickson along with Rebecca McKnight and Dr. Ralph Utzman discuss documentation issues while providing a framework for the actual documentation format. In addition, Physical Therapy Documentation draws comparisons between the familiar, traditional documentation formats and contemporary models to provide a foundation for clinicians and students to use when documenting in any practice setting. Practice exercises and case studies are provided throughout the text demonstrating note-writing across the continuum of care. This text will allow the student or clinician to produce quality documentation consistent with current standards of practice. The Guide to Physical Therapist Practice is referenced throughout the text as the model for patient/client management. What’s Inside: • Disablement models • Reasons for documentation • Documentation formats • Documentation and patient-client management • Discussion of reimbursement issues • Discussion of legal issues • Practical tips for note writing Throughout Physical Therapy Documentation, The World Health Organization’s International Classification of Functioning, Disability, and Health (ICF) language is used. The text is also correlated with the Nagi Model, which is well-known to most physical therapists, to help provide a bridge from the older model to the contemporary model. Physical Therapy Documentation provides physical therapy students, educators, and clinicians with a valuable reference tool for documentation within contemporary physical therapy practice.
Acknowledgment vii
About the Authors ix
Introduction xi
Overview of Disablement
1(16)
Mia Erickson
Reasons for Documenting in Physical Therapy
17(10)
Mia Erickson
Rebecca Mcknight
Documenting Patient/Client Management
27(16)
Mia Erickson
Rebecca Mcknight
Documentation Formats
43(22)
Mia Erickson
Rules for Writing in Medical Records
65(14)
Mia Erickson
Recording Subjective Information
79(14)
Rebecca Mcknight
Recording Objective Information
93(16)
Rebecca Mcknight
Writing the Assessment and the Plan
109(16)
Rebecca Mcknight
Interim and Discharge Notes
125(18)
Rebecca Mcknight
Examining Your Patients' Outcomes
143(12)
Mia Erickson
Legal, Regulatory, and Policy Issues in Documentation
155(8)
Ralph Utzman
Documentation and Reimbursement
163(9)
Ralph Utzaman
Appendix A: APTA Guidelines for Physical Therapy Documentation of Patient/Client Management 172(8)
Appendix B: Abbreviations and Symbols 180(6)
Appendix C: Sample Forms 186(7)
Appendix D: Preferred Practice Patterns 193(4)
Glossary 197(8)
Index 205