Lukan's Documentation for Physical Therapist Assistants

by Bircher, Wendy D.

• ISBN13: 9780803617094
• ISBN10: 0803617097
• Edition: 3rd
• Format: Paperback
• Copyright: 2007-10-15
• Publisher: F a Davis Co

Summary

How important is documentation? Very! Physical Therapist Assistants must provide the proper documentation to assure all forms of reimbursement (including third party) for their services. And, appropriate documentation also addresses issues of patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society. Build your students documentation skills and their confidence, step by step, with the guidance and practice they ll find inside the 3rd Edition. They ll be prepared to meet the technological challenges of today...and tomorrow.

Table of Contents

Why Is Documentation Important?
Introduction to Documentation	p. 3
Documentation Content	p. 15
Steps to Documentation
What Is Subjective Data and Why It Is Important	p. 47
What Is Objective Data and Why It Is Important	p. 69
What Is Assessment Data and Why It Is Important	p. 89
What Is the Plan and Why It Is Important	p. 111
Putting the Pieces of the Puzzle Together	p. 121
How do SOAP Notes Ensure Good Patient Care?
How Does Documentation Relate to Patient Issues?	p. 133
Your Documentation Related to Legal and Ethical Issues	p. 149
Testing What You Know
Do You Know Enough?	p. 159
Abbreviations	p. 181
Documenting Interventions	p. 193
Dictation Guidelines	p. 195
Guidelines: Physical Therapy Documentation of Patient/Client Management	p. 197
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