Writing Patient/Client Notes Ensuring Accuracy in Documentation
Writing Patient/Client Notes Ensuring Accuracy in Documentation by Ginge Kettenbach is a comprehensive resource published by F. A. Davis Company in 2016. This 5th edition, consisting of 304 pages, is designed to help healthcare professionals develop the skills necessary to write clear and concise patient and client care notes. The book emphasizes the importance of accurate documentation and introduces various tools, including SOAP notes, to enhance the writing process.
Readers will find straightforward explanations that address the hows and whys of documentation, making it suitable for those looking to improve their skills in medical record-keeping. The content aligns with contemporary practices in Physical Therapy, focusing on Patient/Client Management and the WHO’s ICF model. Through a structured approach, the book guides readers in mastering documentation techniques, ensuring they can effectively document patient care while adapting to the evolving landscape of allied health services.
Official synopsis Publisher
Master the hows and whys of documentation!
Develop all of the skills you need to write clear, concise, and defensiblepatient/client care notes using a variety of tools, including SOAP notes.
This is the ideal resource for any health care professional needing to learn or improve their skills–with simple, straight forward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management and WHO’s ICF model.
Section by section you’ll learn how to document clearly and accurately, while exercise by exercise you’ll practice mastering every step.
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