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cover image - Documentation for Rehabilitation - Elsevier eBook on VitalSource (Retail Access Card),4th Edition
ISBN: 9780323694339
Copyright: 2025
Publication Date: 07-02-2024
Page Count: 304
Imprint: Elsevier
List Price: $52.99

Documentation for Rehabilitation - Elsevier eBook on VitalSource (Retail Access Card), 4th Edition

by Lori Quinn, EdD, PT and James Gordon, EdD, PT, FAPTA

Elsevier eBook on VitalSource - Access Card

cover image - Documentation for Rehabilitation - Elsevier eBook on VitalSource (Retail Access Card),4th Edition
ISBN: 9780323694339
Copyright: 2025
Publication Date: 07-02-2024
Page Count: 304
Imprint: Elsevier
List Price: $52.99
Important note
Please note
This item has low stock levels and may be back-ordered. We'll let you know if it is back-ordered, and you will not be charged until the item ships.

Better patient management starts with better documentation! Documentation for Rehabilitation, 4th Edition demonstrates how to accurately document treatment progress and patient outcomes using a framework for clinical reasoning based on the International Classification for Functioning, Disability, and Health (ICF) model adopted by the American Physical Therapy Association (APTA). The documentation guidelines in this practical resource are easily adaptable to different practice settings and patient populations in physical therapy and physical therapy assisting. Realistic examples and practice exercises reinforce the understanding and application of concepts, improving skills in both documentation and clinical reasoning.

    • NEW! Movement Analysis – Linking Activities and Impairments content addresses issues related to diagnosis.
    • NEW! An eBook version, included with print purchase, provides access to all the text, figures and references, with the ability to search, customize content, make notes and highlights, and have content read aloud.
    • Updated case examples provide clinical context for patient documentation.
    • Revised content, including updated terminology from the latest updates to the Guide to Physical Therapist Practice, provides the most current information needed to be an effective practitioner.
    • Updated references ensure content is current and applicable for today’s practice.
    • Workbook/textbook format with examples and exercises in each chapter helps reinforce understanding of concepts.
    • Coverage of practice settings includes documentation examples in acute care, rehabilitation, outpatient, home care, nursing homes, pediatrics, school, and community settings.
    • Case examples for a multitude of documentation types include initial evaluations, progress notes, daily notes, letters to insurance companies, Medicare documentation, and documentation in specialized settings.
    • NEW! Movement Analysis – Linking Activities and Impairments content addresses issues related to diagnosis.
    • NEW! An eBook version, included with print purchase, provides access to all the text, figures and references, with the ability to search, customize content, make notes and highlights, and have content read aloud.
    • Updated case examples provide clinical context for patient documentation.
    • Revised content, including updated terminology from the latest updates to the Guide to Physical Therapist Practice, provides the most current information needed to be an effective practitioner.
    • Updated references ensure content is current and applicable for today’s practice.
  • SECTION I Key Aspects of Clinical Documentation
    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
    SECTION II Documenting the Initial Evaluation and Beyond: A Case-Based Guide
    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
    References
    Appendix A: American Physical Therapy Association Position on Documentation
    Appendix B: Rehabilitation Abbreviations
    Appendix C: Answers to Exercises
    Appendix D: Documentation Review Sample Checklist
    Appendix E: Sample Range of Motion and Strength Assessment Form
    Index
  • Lori Quinn, EdD, PT, Associate Professor of Movement Science and Kinesiology
    Director, Neurorehabilitation Research Lab
    Teachers College, Columbia University and James Gordon, EdD, PT, FAPTA, Professor and Associate Dean
    Division of Biokinesiology and Physical Therapy at the Herman Ostrow School of Dentistry
    University of Southern California
Important note
Please note
This item has low stock levels and may be back-ordered. We'll let you know if it is back-ordered, and you will not be charged until the item ships.