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Writing patient/client notes :ensuri...

Kettenbach, Ginge.

Writing patient/client notes :ensuring accuracy in documentation /

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Writing patient/client notes :/ Ginge Kettenbach, Sarah L. Schlomer.
Reminder of title:	ensuring accuracy in documentation /
Author:	Kettenbach, Ginge.
other author:	Schlomer, Sarah L.
Published:	Philadelphia :F.A. Davis Company, : c2016.,
[NT 15000922]:	5th ed.
Description:	xiv, 279 p. ;28 cm.;
Notes:	Preceded by Writing patient/client notes : ensuring accuracy in documentation / Ginge Kettenbach. 4th ed. 2009.
Subject:	Writing. -
ISBN:	9780803638204 (pbk.) :

Writing patient/client notes :ensuring accuracy in documentation /
Kettenbach, Ginge.

Writing patient/client notes :ensuring accuracy in documentation /Ginge Kettenbach, Sarah L. Schlomer. - 5th ed. - Philadelphia :F.A. Davis Company,c2016. - xiv, 279 p. ;28 cm.

Preceded by Writing patient/client notes : ensuring accuracy in documentation / Ginge Kettenbach. 4th ed. 2009.

Includes bibliographical references and index.

Introduction to documentation -- Overview of the health record / Jody Smith -- Legal aspects of the health record / Jody Smith -- Reimbursement / Jody Smith -- Reviewing the health record as a physical therapist -- Writing in a health record -- Introduction to note writing -- Medical terminology -- Using abbreviations -- Introduction to documentation using the ICF System / Sarah L. Schlomer, and Theresa Bernsen -- The patient/client management note : writing history, including the review of systems -- The patient/client management note : writing systems review and tests and measures -- The SOAP note : stating the problem -- The SOAP note : writing subjective (S), including the review of systems worksheet -- The SOAP note: writing objective (O) -- Writing the evaluation -- Writing the diagnosis (A: diagnosis) -- Writing the prognosis (A: prognosis) -- Writing expected outcomes and anticipated goals -- Documenting the intervention plan -- Writing the daily visit note -- The Medicare therapy cap, KX modifiers, and functional limitations reporting (G-codes) -- Applications and variations in note writing.

ISBN: 9780803638204 (pbk.) :NT1493

LCCN: 2015051404Subjects--Topical Terms:

234004
Writing.
Index Terms--Genre/Form:

393324
Problems and Exercises.

National Library of Medicine Call No.: WB 18.2

Writing patient/client notes :ensuring accuracy in documentation /
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008 161208s2016 pau b 001 0 eng
010 $a 2015051404
020 $a 9780803638204 (pbk.) : $c NT1493
035 $a 101674527
040 $a DNLM $b eng $c DNLM $d KMU
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060 1 0 $a WB 18.2
100 1 $2 97000 $a Kettenbach, Ginge. $3 239986
245 1 0 $a Writing patient/client notes : $b ensuring accuracy in documentation / $c Ginge Kettenbach, Sarah L. Schlomer.
250 $a 5th ed.
260 $a Philadelphia : $c c2016. $b F.A. Davis Company,
300 $a xiv, 279 p. ; $c 28 cm.
500 $a Preceded by Writing patient/client notes : ensuring accuracy in documentation / Ginge Kettenbach. 4th ed. 2009.
504 $a Includes bibliographical references and index.
505 0 $a Introduction to documentation -- Overview of the health record / Jody Smith -- Legal aspects of the health record / Jody Smith -- Reimbursement / Jody Smith -- Reviewing the health record as a physical therapist -- Writing in a health record -- Introduction to note writing -- Medical terminology -- Using abbreviations -- Introduction to documentation using the ICF System / Sarah L. Schlomer, and Theresa Bernsen -- The patient/client management note : writing history, including the review of systems -- The patient/client management note : writing systems review and tests and measures -- The SOAP note : stating the problem -- The SOAP note : writing subjective (S), including the review of systems worksheet -- The SOAP note: writing objective (O) -- Writing the evaluation -- Writing the diagnosis (A: diagnosis) -- Writing the prognosis (A: prognosis) -- Writing expected outcomes and anticipated goals -- Documenting the intervention plan -- Writing the daily visit note -- The Medicare therapy cap, KX modifiers, and functional limitations reporting (G-codes) -- Applications and variations in note writing.
650 2 2 $2 96060 $a Writing. $3 234004
650 2 2 $a Physical Therapy Specialty. $3 411305
650 2 2 $2 96060 $a Physical Therapy Modalities. $3 220401
650 1 2 $2 96060 $a Medical History Taking. $3 237088
655 2 $a Problems and Exercises. $3 393324
700 1 $a Schlomer, Sarah L. $3 411312
900 $c 到館:2016/12/07 $d 編目:2016/12/01