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160729s2016 pau ob 001 0 eng d |
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|a 9780803658462
|q (electronic bk.)
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|a 080365846X
|q (electronic bk.)
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|z 9780803638204
|q (paperback)
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|z 0803638205
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|a (OCoLC)ocn954270975
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|a (OCoLC)954270975
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|a YDXCP
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|d OCLCA
|d TSC
|d OCLCO
|d TEFOD
|d WAU
|d YDX
|d MMU
|d OCLCO
|d OCLCA
|d NQL
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|d OCLCA
|d H9Z
|d MPA
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|2 22
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100 |
1 |
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|a Kettenbach, Ginge,
|e author.
|0 n 88292982
|
245 |
1 |
0 |
|a Writing patient/client notes :
|b ensuring accuracy in documentation /
|c Ginge Kettenbach, Sarah L. Schlomer.
|
250 |
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|a 5th edition.
|
264 |
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1 |
|a Philadelphia :
|b F.A. Davis Company,
|c [2016]
|
300 |
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|a 1 online resource (xiii, 279 pages) :
|b illustrations
|
336 |
|
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|a text
|b txt
|2 rdacontent
|
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|a computer
|b c
|2 rdamedia
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|a online resource
|b cr
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504 |
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|a Includes bibliographical references and index.
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505 |
0 |
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|a Introduction to documentation -- Part I: The health record. Overview of the health record -- Legal aspects of the health record -- Reimbursement -- Reviewing the health record as a physical therapist -- Part II: Documentation basics. Writing in a health record -- Introduction to note writing -- Medical terminology -- Using abbreviations -- Introduction to documentation using the international classification of functioning, disability, and health (ICF) system -- Part III: Documenting the examination. The patient/client management format: writing history, including the review of systems -- The patient/client management format: writing systems review and tests and measures -- The SOAP note: stating the problem -- The SOAP note: writing subjective (S), including the review of systems -- The SOAP note: writing objective (O) -- Part IV: Documenting the evaluation/assessment (A). Writing the evaluation/assessment (A) -- Writing the diagnosis (A: diagnosis) -- Writing the prognosis (A: prognosis) -- Part V: Documenting the plan of care (P). Writing expected outcomes and anticipated goals -- Documenting the intervention plan -- Part VI: applications of documentation skills. Writing the daily visit note -- The Medicare therapy cap, KX modifiers, and functional limitations reporting (G-codes) -- Applications and variations in note writing -- Appendices. Summary of the patient/client management note contents -- Summary of the SOAP note contents -- Summary of contents of the four types of notes -- Tips for note writing for third-party payors -- Review of systems and systems review forms
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588 |
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|a Description based on online resource; title from electronic title page (R2 Digital Library, viewed November 10, 2017).
|
650 |
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0 |
|a Physical therapy
|x Documentation
|v Problems, exercises, etc.
|0 sh 85101568
|
650 |
|
0 |
|a Occupational therapy
|x Documentation
|v Problems, exercises, etc.
|0 sh 85093850
|
650 |
|
0 |
|a Medical protocols
|v Problems, exercises, etc.
|0 sh 85083005
|
650 |
|
0 |
|a Note-taking
|v Problems, exercises, etc.
|0 sh 85092791
|
650 |
1 |
2 |
|a Medical History Taking.
|0 D008487
|
650 |
2 |
2 |
|a Physical Therapy Modalities.
|0 D026741
|
650 |
2 |
2 |
|a Physical Therapy Specialty.
|0 D026761
|
650 |
2 |
2 |
|a Writing.
|0 D014956
|
655 |
|
2 |
|a Problems and Exercises.
|0 D020497
|
655 |
|
4 |
|a Electronic books.
|
700 |
1 |
|
|a Schlomer, Sarah L.,
|e author.
|0 n 2015191783
|
776 |
0 |
8 |
|i Print version:
|a Kettenbach, Ginge.
|t Writing patient/client notes : ensuring accuracy in documentation.
|b 5th edition.
|d Philadelphia : F.A. Davis Company, [2016]
|z 9780803638204
|z 0803638205
|w (DLC) 2015051404
|w (OCoLC)934020211
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|a Massachusetts College of Pharmacy and Health Sciences
|b Online
|c Online
|d E-Collections
|t 0
|e FA Davis Collection
|h Other scheme
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856 |
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|u https://ezproxymcp.flo.org/login?url=https://fadavispt.mhmedical.com/book.aspx?bookid=1937
|y Full text (MCPHS users only)
|