Full Description
Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. The new Third Edition of Documentation Basics for the Physical Therapist Assistant continues the path of teaching the student and clinician documentation from A to Z.
Mia Erickson and Rebecca McKnight have updated this Third Edition to reflect changes in the ever-evolving profession. Newly addressed are the changes in documentation requirements for major payers, changes in the disablement models used, and the increasingly common use of electronic documentation in the physical therapy profession.
Features inside the Third Edition:
Readers are encouraged to think about disablement and disablement concepts when writing notes
How to document impairments in body structure and function but more importantly activity limitations and participation restriction
Descriptions of the differences in documentation methods using a computer vs paper chart
Evidence tied to benefits and challenges of computerized documentation
Documenting the rationale for treatment and the unique skills of the physical therapist assistant in patient management
New inside the Third Edition:
Incorporation of the International Classification of Functioning, Disability, and Health disablement model
Chapter on electronic documentation
Screenshot examples of the popular WebPT® electronic medical record platform
Updated chapters on reimbursement and legal issues
Additional examples for student practice included in each chapter
Included with the text are online supplemental materials for faculty use in the classroom.
Documentation Basics for the Physical Therapist Assistant, Third Edition is the perfect guide for all physical therapist assistant students and clinicians who want to update and refine their knowledge and skills in documentation.
Contents
About the Authors Preface Chapter 1 Disablement and Physical Therapy DocumentationChapter 2 The Physical Therapy Episode of Care Chapter 3 Reasons for Documenting Chapter 4 Documentation Formats Chapter 5 Electronic Medical Record Chapter 6 Basic Guidelines for Documentation Chapter 7 Interpreting the Physical Therapist Initial Evaluation Chapter 8 Writing the Subjective Section Chapter 9 Writing the Objective Section Chapter 10 Writing the Assessment and Plan Sections Chapter 11 Payment Basics Chapter 12 Legal and Ethical Considerations for Physical Therapy Documentation Chapter 13 Documentation Across the Curriculum Appendix: Abbreviations and Symbols Index
