Documentation for rehabilitation: a guide to clinical decision making

Ensure confident clinical decisions and maximum reimbursement in a variety ofpractice 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 eachchapter reinforce concepts and encourage you to apply what you've learned to realistic practice scenarios. INDICE: I. Theoretical Foundations & Documentation Essentials1. Disablement models, ICF Framework, and Clinical Decision Making2. Essentials of Documentation 3. Legal Aspects of Documentation - New4. Clinical Decision Making and the Initial Evaluation FormatII. Components of Physical Therapy Documentation5.Documenting History: Background Information and Health Condition6. Documenting History: Participation and Social History7. Documenting Activities8. Documenting Impairments in Body Structure and Function9. Documenting the Assessment: Summary and Diagnosis10. Documenting Goals11. Documenting the Plan of Care12. Daily Notes and Progress Notes using a Modified SOAP FormatIII. Additional Documentation Forms13. Specialized Documentation14. Documentation in Pediatrics -New15. Payment Policy and Coding - New16. Computerized Documentation - NewReferencesAppendix A. Guidelines for Physical Therapy DocumentationAppendix B. Rehabilitation AbbreviationsAppendix C. Answers to ExercisesAppendix D. Sample Evaluation Forms

• ISBN: 978-1-4160-6221-9
• Editorial: Saunders
• Encuadernacion: Rústica
• Páginas: 288
• Fecha Publicación: 29/01/2010
• Nº Volúmenes: 1
• Idioma: Inglés