MARC record from Internet Archive

LEADER: 05446cam 2200721Ii 4500
001 ocn954270975
003 OCoLC
005 20220207172454.0
008 160729t20162016pau ob 001 0 eng d
006 m o d
007 cr |||||||||||
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020 $a9780803658462$q(electronic bk.)
020 $a080365846X$q(electronic bk.)
020 $z9780803638204$q(paperback)
020 $z0803638205$q(paperback)
035 $a(OCoLC)954270975
037 $a893BBAA5-941C-4045-AD87-EDA71D99C207$bOverDrive, Inc.$nhttp://www.overdrive.com
050 4 $aRM701.6
060 4 $aWB 18.2
072 7 $aMED$x071000$2bisacsh
082 04 $a615.8/2$222
100 1 $aKettenbach, Ginge,$eauthor.
245 10 $aWriting patient/client notes :$bensuring accuracy in documentation /$cGinge Kettenbach, PhD, PT, Associate Professor, Program in Physical Therapy, Saint Louis University, St. Louis, Missouri, Sarah L. Schlomer, PT, DPT, Adjunct Instructor, Program in Physical Therapy, Saint Louis University, St. Louis, Missouri, Physical Therapist, SSM Health-Saint Louis University Hospital, St. Louis, Missouri.
250 $a5th edition.
264 1 $aPhiladelphia :$bF.A. Davis Company,$c[2016]
264 4 $c©2016
300 $a1 online resource (xiv, 279 pages) :$billustrations
336 $atext$btxt$2rdacontent
337 $acomputer$bc$2rdamedia
338 $aonline resource$bcr$2rdacarrier
500 $aPreceded by Writing patient/client notes : ensuring accuracy in documentation / Ginge Kettenbach. 4th ed. 2009.
504 $aIncludes bibliographical references and index.
505 0 $aIntroduction 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 $aDescription based on online resource; title from electronic title page (R2 Digital Library, viewed November 10, 2017).
650 0 $aPhysical therapy$xDocumentation$vProblems, exercises, etc.
650 0 $aOccupational therapy$xDocumentation$vProblems, exercises, etc.
650 0 $aMedical protocols$vProblems, exercises, etc.
650 0 $aNote-taking$vProblems, exercises, etc.
650 7 $aMEDICAL$xPharmacology.$2bisacsh
650 7 $aMedical protocols.$2fast$0(OCoLC)fst01014534
650 7 $aNote-taking.$2fast$0(OCoLC)fst01039590
650 7 $aOccupational therapy$xDocumentation.$2fast$0(OCoLC)fst01043277
650 7 $aPhysical therapy$xDocumentation.$2fast$0(OCoLC)fst01062777
650 12 $aMedical History Taking.
650 22 $aPhysical Therapy Modalities.
650 22 $aPhysical Therapy Specialty.
650 22 $aWriting.
655 4 $aElectronic books.
655 7 $aProblems and exercises.$2fast$0(OCoLC)fst01423783
655 7 $aProblems and exercises.$2lcgft
655 2 $aProblems and Exercises.
700 1 $aSchlomer, Sarah L.,$eauthor.
776 08 $iPrint version:$aKettenbach, Ginge.$tWriting patient/client notes : ensuring accuracy in documentation.$b5th edition.$dPhiladelphia : F.A. Davis Company, [2016]$z9780803638204$z0803638205$w(DLC) 2015051404$w(OCoLC)934020211
856 40 $3EBSCOhost$uhttp://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=1290529
856 40 $3R2 Digital Library$uhttp://www.r2library.com/Resource/Title/0803638205
856 40 $3OverDrive$uhttps://www.overdrive.com/search?q=893BBAA5-941C-4045-AD87-EDA71D99C207
856 4 $3Image$uhttps://img1.od-cdn.com/ImageType-100/3393-1/{893BBAA5-941C-4045-AD87-EDA71D99C207}Img100.jpg
856 40 $uhttps://ezproxy.humber.ca/login?url=https://ebookcentral.proquest.com/lib/humber/detail.action?docID=4624903$zClick to View
938 $aEBSCOhost$bEBSC$n1290529
938 $aYBP Library Services$bYANK$n13093247
994 $aZ0$bP4A
948 $hNO HOLDINGS IN P4A - 101 OTHER HOLDINGS