Documentation for Rehabilitation Second Edition

Documentation for Rehabilitation Second Edition

Documentation for Rehabilitation Second Edition

 

 

  • 2nd Edition

  • Format: PDF 

  • Pages: 280

  • File Size: PDF >> 5.4 MB

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Documentation for Rehabilitation – A Guide to Clinical Decision Making-Saunders Elsevier 2010.pdf

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Table of Contents

I: THEORETICAL FOUNDATIONS
1. Disablement Models, ICF Framework and Clinical Decision Making
2. Essentials of Documentation
3. Legal Aspects of Documentation
4. Standardized Outcome Measures  NEW!
5. Payment Policy and Coding
6 Electronic Medical Records
II: COMPONENTS OF PHYSICAL THERAPY DOCUMENTATION
7. Clinical Decision Making and the Initial Evaluation Format
8. Documenting Reason for Referral: Health Condition and Participation
9. Documenting Activities
10. Documenting Impairments
11. Document the Assessment: Summary and Diagnosis
12. Developing and Documenting Effective Goals
13. Documenting the Plan of Care
14. Documenting Session Notes and Progress Notes Using a Modified SOAP Note Format
15. Special Formats: Documenting Screenings, Discharge Summaries, Letters and Patient Education Materials
16. Documentation in Pediatrics

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