Description
Book SynopsisComplete 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
Instructors in educational settings can visit www.efacultylounge.com for additional material to be used for teaching 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.
Trade Review“This book is thorough and well organized. It presents concepts supported with practical examples and scenarios. Documentation guides can easily be updated annually given the rate at which the profession continues to change, and much has changed since the previous edition. With CMS, APTA, and ICF as dominant sources for this book's documentation structure, readers can be confident that the book is relevant and the information accurate.”
- Jason R. Oliver, PTA, Doody's Book Review Service
Table of ContentsAbout the Authors
Preface
Chapter 1 Disablement and Physical Therapy Documentation
Mia L. Erickson, PT, EdD, CHT, ATC
Chapter 2 The Physical Therapy Episode of Care
Rebecca McKnight, PT, MS
Chapter 3 Reasons for Documenting
Mia L. Erickson, PT, EdD, CHT, ATC
Chapter 4 Documentation Formats
Mia L. Erickson, PT, EdD, CHT, ATC
Chapter 5 Electronic Medical Record
Mia L. Erickson, PT, EdD, CHT, ATC
Chapter 6 Basic Guidelines for Documentation
Rebecca McKnight, PT, MS and Mia L. Erickson, PT, EdD, CHT, ATC
Chapter 7 Interpreting the Physical Therapist Initial Evaluation
Rebecca McKnight, PT, MS
Chapter 8 Writing the Subjective Section
Rebecca McKnight, PT, MS
Chapter 9 Writing the Objective Section
Rebecca McKnight, PT, MS
Chapter 10 Writing the Assessment and Plan Sections
Rebecca McKnight, PT, MS
Chapter 11 Payment Basics
Mia L. Erickson, PT, EdD, CHT, ATC
Chapter 12 Legal and Ethical Considerations for Physical Therapy Documentation
Mia L. Erickson, PT, EdD, CHT, ATC
Chapter 13 Documentation Across the Curriculum
Mia L. Erickson, PT, EdD, CHT, ATC
Traumatic Brain Injury
Tracy Rice, PT, MPH, NCS
Spinal Cord Injury
Tracy Rice, PT, MPH, NCS
Appendix: Abbreviations and Symbols
Index
