TY - BOOK AU - Quinn,Lori AU - Gordon,James TI - Functional outcomes documentation for rehabilitation SN - 0721689477 AV - RM700.Q85 U1 - 615.8/2 21 PY - 2003/// CY - Philadelphia PB - Saunders KW - Physical therapy KW - Physical therapy assistants KW - Medical protocols KW - Communication in medicine KW - Physical Therapy Specialty KW - Documentation KW - Communication KW - Information Systems N1 - 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 ER -