MARC

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020 |a 9780803658462  |q (electronic bk.) 
020 |a 080365846X  |q (electronic bk.) 
020 |z 9780803638204  |q (paperback) 
020 |z 0803638205  |q (paperback) 
035 |a (OCoLC)ocn954270975 
035 |a (OCoLC)954270975 
040 |a YDXCP  |b eng  |e rda  |e pn  |c YDXCP  |d N$T  |d OCLCF  |d USU  |d OCLCQ  |d OCLCO  |d OCLCQ  |d OCLCA  |d TSC  |d OCLCO  |d TEFOD  |d WAU  |d YDX  |d MMU  |d OCLCO  |d OCLCA  |d NQL  |d OCLCO  |d OCLCA  |d H9Z  |d MPA  |d UtOrBLW 
049 |a MPAA 
050 4 |a RM701.6 
060 4 |a WB 18.2 
082 0 4 |a 615.8/2  |2 22 
100 1 |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 |a 5th edition. 
264 1 |a Philadelphia :  |b F.A. Davis Company,  |c [2016] 
300 |a 1 online resource (xiii, 279 pages) :  |b illustrations 
336 |a text  |b txt  |2 rdacontent 
337 |a computer  |b c  |2 rdamedia 
338 |a online resource  |b cr  |2 rdacarrier 
504 |a Includes bibliographical references and index. 
505 0 |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 
588 |a Description based on online resource; title from electronic title page (R2 Digital Library, viewed November 10, 2017). 
650 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 
951 |a 2620421 
994 |a C0  |b MPA 
999 f f |i e39d4347-4b0b-534a-9916-2ce41378e660  |s acb8ee60-7f05-52dd-9ed9-ac79b0c70199  |t 0 
952 f f |a Massachusetts College of Pharmacy and Health Sciences  |b Online  |c Online  |d E-Collections  |t 0  |e FA Davis Collection  |h Other scheme 
856 4 0 |t 0  |u https://ezproxymcp.flo.org/login?url=https://fadavispt.mhmedical.com/book.aspx?bookid=1937  |y Full text (MCPHS users only)