Documentation For Physical Therapist Practice: A Clinical Decision Making Approach

重量：0.65kg　頁數：250   裝訂：平裝　開數: 27.7*21.5CM　印刷：雙色

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Documentation for Physical Therapist Practice: A Clinical Decision Making Approach provides the framework for successful documentation. It is synchronous with Medicare standards as well as the American Physical Therapy Association’s recommendations for defensible documentation. It identifies documentation basics which can be readily applied to a broad spectrum of documentation formats including paper-based and electronic systems. This key resource utilizes a practical clinical decision making approach and applies this framework to all aspects of documentation. This text emphasizes how the common and standard language of the Guide to Physical Therapist Practice and the International Classification of Functioning, Disability, and Health (ICF) model can be integrated with a physical therapist’s clinical reasoning process and a physical therapist assistant’s skill set to produce successful documentation.

• Includes content on documentation formations: Initial Evaluations, Re-examination Notes, Daily Notes, Conclusion of the Episode of Care Summaries, Home Exercise Programs
• Reviews all the important issues related to style, types of documentation, and utilization of documentation
• Covers documentation relevant in different settings (inpatient, home health, skilled nursing facility, outpatient)  
• Helps students learn how to report findings and demonstrate an appropriate interpretation of results
• Includes up-to-date information in line with APTA Guidelines for Defensible Documentation, World Health Organization, International Classification of Functioning Disability and Health, and Medicare
• Reviews electronic documentation, ICD-9, ICD-10, and CPT codes
• Includes important chapters on Interprofessional Communication, Legal Aspects, Principles of Measurement

Chapter  1  Documentation: An Essential Element of Physical Therapy Practice
Chapter  2  Utilizing the International Classification of Functioning, Disability and Health (ICF) Model in Physical Therapy Documentation
Chapter  3  Documenting the Initial Examination
Chapter  4  Writing Daily Notes
Chapter  5  Documenting the Home Exercise Program
Chapter  6  Documenting Progress
Chapter  7  Conclusion of the Episode of Care
Chapter  8  Principles of Measurement in Documentation
Chapter  9  Interprofessional Communication
Chapter  10  Electronic Health Records: The Medium for Documentation
Chapter  11  The Impact of Health Care Reform on Physical Therapy Documentation
Chapter  12  Legal Considerations in Physical Therapy Documentation