Documentation for Rehabilitation - E-Book

Documentation for Rehabilitation, 4th Edition is the essential guide for physical therapists and assistants aiming to improve patient care through accurate, effective documentation. Grounded in the International Classification for Functioning, Disability, and Health (ICF) model adopted by the American Physical Therapy Association (APTA), this workbook/textbook provides practical, adaptable guidelines for documenting treatment progress, patient outcomes, and clinical reasoning across diverse practice settings. With realistic examples, case studies, and exercises, it helps clinicians strengthen both documentation skills and clinical reasoning, ensuring high-quality care and clear communication with patients, colleagues, and payers.

Key Features

• ICF-Based Framework: Utilizes the internationally recognized ICF model for documenting function, disability, and health in rehabilitation practice.
• Practical, Adaptable Guidelines: Offers documentation strategies applicable across acute care, rehabilitation, outpatient, home care, nursing homes, pediatrics, school, and community settings.
• Comprehensive Case Examples: Includes examples for initial evaluations, progress notes, daily notes, letters to insurers, Medicare documentation, and specialized settings.
• Skill-Building Exercises: Workbook format reinforces learning with practice exercises in each chapter to improve clinical reasoning and documentation skills.
• New and Updated Content: Features updated case examples, revised terminology per the latest Guide to Physical Therapist Practice, and a new section on Movement Analysis linking activities and impairments.
• Digital Access: eBook version included with print purchase, enabling full-text search, note-taking, highlighting, read-aloud functionality, and easy navigation.
• Evidence-Based and Current: Updated references and terminology ensure content aligns with contemporary practice standards and requirements.