Documentation

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Guide to Clinical Documentation
Guide to Clinical Documentation
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Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions...

Features

  • Used Book in Good Condition
GOLD Documentation
GOLD Documentation
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Features

  • Teaching Strategies GOLD Documentation is a free app created exclusively for teachers using the Teaching Strategies GOLD online assessment system.
  • Capture photos, videos, audio clips, and text notes.
  • Tag documentation with objectives, dimensions, and children's names.
  • Assign preliminary levels for each piece of documentation.
  • Send data to Teaching Strategies GOLD online with one touch.
Documentation Manual for Occupational Therapy: Writing SOAP Notes
Documentation Manual for Occupational Therapy: Writing SOAP Notes
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Description

One of the most critical skills that occupational therapists must learn is effective documentation.   With that idea in mind, Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition presents a systematic approach to a standard form of health care documentation: the SOAP note...

Social Work Documentation: A Guide to Strengthening Your Case Recording
Social Work Documentation: A Guide to Strengthening Your Case Recording
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The second edition of Social Work Documentation: A Guide to Strengthening Your Case Recording is an update to Nancy L. Sidell's 2011 book on the importance of developing effective social work documentation skills...

Acing Medical Note Writing: An essential guide to effective and efficient medical documentation
Acing Medical Note Writing: An essential guide to effective and efficient medical documentation
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Description

Manual for effective and efficient medical documentation with tips and tricks to quickly start and complete a variety of medical notes, including but not limited to history and physical, progress note, discharge summaries and procedure notes...

Guide to Clinical Documentation
Guide to Clinical Documentation
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Description

Understand the when, why, and how! Here’s your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward ‘how-to’ approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions...

Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy
Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy
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Description

Better patient management starts with better documentation! Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy, 3rd Edition shows how to accurately document treatment progress and patient outcomes...

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  • W B Saunders Co
Documentation for Medical Practices
Documentation for Medical Practices
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Description

Contents of accompanying CD-ROM are listed in Appendix A (p. 331-332) and are in PDF format.

Documentation Basics for the Physical Therapist Assistant (Core Texts for PTA Education)
Documentation Basics for the Physical Therapist Assistant (Core Texts for PTA Education)
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Description

Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. The new Third Edition of Documentation Basics for the Physical Therapist Assistant continues the path of teaching the student and clinician documentation from A to Z...




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State Secrets: A Documentation of the Secret Revolutionary Mainspring Governing Anglo-American Politics
State Secrets: A Documentation of the Secret Revolutionary Mainspring Governing Anglo-American Politics
Price: 22.00
Description: State Secrets: A Documentation of the Secret Revolutionary Mainspring Governing Anglo-American Politics
The Handbook of Human Rights Investigation: A Comprehensive Guide to the Investigation and Documentation of Violent Human Rights Abuses
The Handbook of Human Rights Investigation: A Comprehensive Guide to the Investigation and Documentation of Violent Human Rights Abuses
Price: 25.00
Description: The Handbook of Human Rights Investigation: A Comprehensive Guide to the Investigation and Documentation of Violent Human Rights Abuses
Writing Patient / Client Notes: Ensuring Accuracy in Documentation
Writing Patient / Client Notes: Ensuring Accuracy in Documentation
Price: 29.32
Description: Writing Patient / Client Notes: Ensuring Accuracy in Documentation
Writing Patient/ Client Notes: Ensuring Accuracy in Documentation
Writing Patient/ Client Notes: Ensuring Accuracy in Documentation
Price: 34.73
Description: Writing Patient/ Client Notes: Ensuring Accuracy in Documentation
The APA Style of Documentation: A Pocket Guide
The APA Style of Documentation: A Pocket Guide
Price: 22.27
Description: The APA Style of Documentation: A Pocket Guide
Documentation for Physical Therapist Practice
Documentation for Physical Therapist Practice
Price: 48.60
Description: Documentation for Physical Therapist Practice
Documentation for Physical Therapist Assistants
Documentation for Physical Therapist Assistants
Price: 31.82
Description: Documentation for Physical Therapist Assistants
Essentials of Language Documentation
Essentials of Language Documentation
Price: 19.95
Description: Essentials of Language Documentation
The Ota's Guide to Documentation
The Ota's Guide to Documentation
Price: 60.58
Description: This text teaches the SOAP notes format reimbursable by Medicare Part B and other third-party payers. Other topics include a review of spelling and grammar, an overview of the initial evaluation process delineating the roles of the occupational therapist and the occupational therapy assistant, tips for clinical reasoning, and guidelines for selecting appropriate interventions. Templates allow beginning students to practice formatting SOAP notes, and a detachable summary sheet can be pulled out and carried to clinical sites as a reminder of the necessary contents for a SOAP note. Multiple worksheets are provided for practice in developing observation skills, clinical reasoning, documentation skills, and a repertoire of professional language. All worksheets are also available online with answers included to enable independent study.

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