Lori Quinn, James Gordon

Documentation for Rehabilitation- E-Book (eBook, ePUB)

• Format: ePub

Produktbeschreibung

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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Produktdetails

• Verlag: Elsevier HealthScience EN
• Seitenzahl: 288
• Erscheinungstermin: 7. August 2013
• Englisch
• ISBN-13: 9780323266369
• Artikelnr.: 43875424

Inhaltsangabe

1. Disablement Models and the ICF Framework
2. Essentials of Documentation
3. Legal Aspects of Documentation
4. Standardized Outcome Measures
5. Payment Policy and Coding
6. Electronic Medical Records
7. Clinical Decision-Making and the Initial Evaluation Format
8. Documenting Reason for Referral: Health Condition and Participation
9. Documenting Activities
10. Documenting Impairments in Body Structure and Function
11. Documenting the Assessment: Summary and Diagnosis
12. Developing and Documenting Effective Goals
13. Documenting the Plan of Care
14. Session Notes and Progress Notes Using a Modified SOAP Format
15. Special Formats: Screening Evaluations, Discharge Summaries, Letters,
and Patient Education Materials
16. Documentation in Pediatrics