Main description:

Newly updated and revised, Physical Therapy Documentation: From Examination to Outcome, Third Edition provides physical therapy students, educators, and clinicians with essential information on documentation for contemporary physical therapy practice.

Complete and accurate documentation is one of the most essential skills for physical therapists. In this text, authors Mia L. Erickson, Rebecca McKnight, and Ralph Utzman teach the knowledge and skills necessary for correct documentation of physical therapy services, provide guidance for readers in their ethical responsibility to quality record-keeping, and deliver the mechanics of note writing in a friendly, approachable tone.

Featuring the most up-to-date information on proper documentation and using the International Classification of Functioning, Disabilities, and Health (ICF) model as a foundation for terminology, the Third Edition includes expanded examples across a variety of practice settings as well as new chapters on:

Health informatics
Electronic medical records
Rules governing paper and electronic records
Billing, coding, and outcomes measures

Instructors in educational settings can visit www.efacultylounge.com for additional materials to be used for teaching in the classroom.

An invaluable reference in keeping with basic documentation structure, Physical Therapy Documentation: From Examination to Outcome, Third Edition is a necessity for both new and seasoned physical therapy practitioners.

Contents:

Chapter 1: Disablement and Documentation
Chapter 2: Reasons for Documenting in Physical Therapy
Chapter 3: Ethical, Legal, and Regulatory Issues in Physical Therapy Documentation
Chapter 4: Documenting Patient/Client Management: An Overview
Chapter 5: Documentation Formats
Chapter 6: Health Informatics and Electronic Health Records
Chapter 7: Rules for Writing in Medical Records
Chapter 8: Documenting the Examination
Chapter 9: Documenting the Evaluation
Chapter 10: Interim Documentation
Chapter 11: Patient Outcomes and Discharge Summaries
Chapter 12: Documentation, Insurance, and Payment
Abbreviations and Symbols