Functional outcomes documentation for rehabilitation /
Lori Quinn, James Gordon.
- Philadelphia : Saunders, c2003.
- xvii, 214 p. : ill. ; 28 cm.
Includes bibliographical references and index.
Contents :Theoretical Foundations -- Introduction -- Essentials of Documentation -- Overview of Functional Outcomes Approach to Documentation: The Initial Evaluation Format --Components of Physical Therapy Documentation -- Documenting Reason for Referral: Background Information, Medical Diagnosis, and History --Components of Physical Therapy Documentation -- Documenting Reason for Referral: Background Information, Medical Diagnosis, and History --Documenting Reason for Referral: Disability and Social History -- Documenting Functional Status: A Skill-Based Model -- Documenting Impairments -- Documenting the assessment: the physical therapy diagnosis -- Documenting Goals -- Documenting the Intervention Plan -- Additional Documentation Formats -- Documenting Daily Notes and Progress Notes: Elements of the SOAP Record -- Specialized Documentation -- Automating Physical Therapy Documentation -- App. A.Guidelines for Physical Therapy Documentation -- App. B.Rehabilitation Abbreviations -- App.C. answers to exercises -- App. D.Sample Evaluation Forms.
0721689477
2002036574
GBA3-18227
Physical therapy. Physical therapy assistants. Medical protocols. Communication in medicine. Physical Therapy Specialty. Documentation. Communication. Information Systems.