Functional Documentation a Process for the Physical Therapy - Softcover
Documentation of the treatment process is an important part of any therapeutic regimen. As a record of client care, it provides useful information for the practitioner, other members of the health care team, and third-party payers.
Marcia Stamer has produced a valuable guide to documentation for physical therapists. She describes the S.O.A.P. method of documentation, widely used by doctors and insurance companies. In addition, she demonstrates that dividing notes into subjective, objective, assessment, and plan areas illuminates the client's strengths, problems, and goals, making treatment decisions clearer. Stamer demonstrates that this method can make documentation an effective foundation for treatment.
Explanations and examples of what should and should not be included in each area of documentation, along with exercises for practicing correct documentation, provide the fundamentals every therapist needs. Tips for documentation shortcuts and suggestions for applying S.O.A.P. methodology to other physical therapy department communications make this book a complete guide to organizing effective communication.
Marcia Stamer has produced a valuable guide to documentation for physical therapists. She describes the S.O.A.P. method of documentation, widely used by doctors and insurance companies. In addition, she demonstrates that dividing notes into subjective, objective, assessment, and plan areas illuminates the client's strengths, problems, and goals, making treatment decisions clearer. Stamer demonstrates that this method can make documentation an effective foundation for treatment.
Explanations and examples of what should and should not be included in each area of documentation, along with exercises for practicing correct documentation, provide the fundamentals every therapist needs. Tips for documentation shortcuts and suggestions for applying S.O.A.P. methodology to other physical therapy department communications make this book a complete guide to organizing effective communication.
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About the Author:
Marcia Hornbrook Stamer has a private practice for pediatric physical therapy. Her past experience includes service as director of clinical services and director of physical therapy services at Neuro-Developmental Treatment Programs, Inc., in Augusta, Georgia, and as staff physical therapist at Timken Mercy Medical Center in Canton, Oregon. She graduated from Ohio State University with a Bachelor of Science degree in physical therapy. In addition to her practice, she teaches extensively throughout the United States, and has given many classes in NDT, treatment of children, and treatment of clients with cerebral palsy. Her affiliations include membership in the American Physical Therapy Association and its Pediatric Section, the American Academy of Cerebral Palsy and Developmental Medicine, the Spina Bifida Association, and the Neuro-Developmental Treatment Association. She holds licenses to practice physical therapy in Georgia and South Carolina. Ms. Stainer and her husband live in Augusta, Georgia.Contributor Judith Carter Bierman is the owner of, and a practicing physical therapist in, Neuro-Developmental Treatment Programs, Inc., of Augusta, Georgia. She received a Bachelor of Science degree in physical therapy from University of North Carolina, Chapel Hill. Since then, she has taught courses throughout the United States and internationally. She is licensed for practice in Georgia and South Carolina, and is a member of the American Physical Therapy Association, the American Academy of Cerebral Palsy and Developmental Medicine, and the United Cerebral Palsy CSRA.
"About this title" may belong to another edition of this title.
- PublisherTherapy Skill Builders
- ISBN 10 0884501272
- ISBN 13 9780884501275
- BindingPaperback
- Number of pages116
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