TY - BOOK AU - Quinn,Lori AU - Gordon,James AU - Quinn,Lori TI - Documentation for rehabilitation: a guide to clinical decision making SN - 9781416062219 (pbk. : alk. paper) AV - RM700 .Q85 2010 U1 - 615.8/2 22 PY - 2010/// CY - Maryland Heights, Mo. PB - Saunders/Elsevier KW - Physical therapy KW - Physical therapy assistants KW - Medical protocols KW - Communication in medicine KW - Medical Records KW - Physical Therapy Modalities KW - Disability Evaluation KW - Documentation KW - Patient Care Planning N1 - Rev. ed. of: Functional outcomes documentation for rehabilitation. c2003; Includes bibliographical references (p. 205-208) and index; Disablement models, ICF framework, and clinical decision making -- Essentials of documentation -- Legal aspects of documentation -- Clinical decision making and the initial evaluation format -- Documenting reason for referral : background information and health condition -- Documenting reason for referral : participation and social history -- Documenting activities -- Documenting impairments in body structure and function -- Documenting the assessment : summary and diagnosis -- Documenting goals -- Documenting the plan of care -- Treatment notes and progress notes using a modified SOAP format -- Specialized documentation -- Documentation in pediatrics / Lori Quinn and Agnes McConlogue -- Payment policy and coding / Helene M. Fearon, Stephen M. Levine, and Lori Quinn -- Computerized documentation / Janet Herbold ER -