Quinn, Lori.

Documentation for rehabilitation : a guide to clinical decision making / Lori Quinn, James Gordon. - 2nd ed. - Maryland Heights, Mo. : Saunders/Elsevier, c2010. - xiv, 263 p. : ill.

Rev. ed. of: Functional outcomes documentation for rehabilitation. c2003.

Includes bibliographical references (p. 205-208) and index.

Disablement models, ICF framework, and clinical decision making -- Essentials of documentation -- Legal aspects of documentation -- Clinical decision making and the initial evaluation format -- Documenting reason for referral: background information and health condition -- Documenting reason for referral: participation and social history -- Documenting activities -- Documenting impairments in body structure and function -- Documenting the assessment: summary and diagnosis -- Documenting goals -- Documenting the plan of care -- Treatment notes and progress notes using a modified SOAP format -- Specialized documentation -- Documentation in pediatrics / Lori Quinn and Agnes McConlogue -- Payment policy and coding / Helene M. Fearon, Stephen M. Levine, and Lori Quinn -- Computerized documentation / Janet Herbold.

9781416062219 (pbk.) 1416062211 (pbk.)


Medical records.
Physical therapy modalities.
Disability evaluation.
Patient care planning.

WB460 / .Q566 2010

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