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Writing patient/client notes :ensuri...

Kettenbach, Ginge.

Writing patient/client notes :ensuring accuracy in documentation /

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Writing patient/client notes :/ Ginge Kettenbach.
其他題名:	ensuring accuracy in documentation /
作者:	Kettenbach, Ginge.
其他作者:	Kettenbach, Ginge.
出版者:	Philadelphia :F.A. Davis, : c2009.,
版本:	4th ed.
面頁冊數:	248 p. ;28 cm.;
附註:	Rev. ed. of: Writing SOAP notes / Ginge Kettenbach. 3rd ed. c2004.
標題:	Writing -
ISBN:	9780803618787 (pbk.) :

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

Writing patient/client notes :ensuring accuracy in documentation /Ginge Kettenbach. - 4th ed. - Philadelphia :F.A. Davis,c2009. - 248 p. ;28 cm.

Rev. ed. of: Writing SOAP notes / Ginge Kettenbach. 3rd ed. c2004.

Includes bibliographical references.

Introduction to note writing -- Writing in a medical record -- Medical terminology -- Using abbreviations -- The patient/client management format : writing history -- The patient/client management format : writing systems review -- The patient/client management format : documenting tests and measures -- The SOAP note : stating the problem -- The SOAP note : writing subjective (S) -- The SOAP note : writing objective (O) -- Writing evaluation -- Writing the diagnosis -- Writing the prognosis -- Writing expected outcomes (long term goals) -- Writing anticipated goals (short term goals) -- Documenting planned interventions -- Overview of the medical record -- Legal aspects of the medical record -- Reimbursement -- Applications and variations in note writing -- Alternatives : documentation forms and computerized documentation -- The future : documentation using the ICF system.

ISBN: 9780803618787 (pbk.) :NT670

LCCN: 2008030774

Nat. Bib. Agency Control No.: 101478574DNLMSubjects--Topical Terms:

222682
Writing

LC Class. No.: RM701.6 / .K48 2009

Dewey Class. No.: 615.8/2

National Library of Medicine Call No.: 2009 D-231

Writing patient/client notes :ensuring accuracy in documentation /
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