Legal, Ethical, and Practical Aspects of Patient Care Documentation

Legal, Ethical, and Practical Aspects of Patient Care Documentation
Author: Ronald W. Scott
Publisher: Jones & Bartlett Publishers
Total Pages: 296
Release: 2013
Genre: Medical
ISBN: 0763799106

Fourth Edition, is the only text to integrate coverage of the legal responsibilities of rehabilitation professionals with basic, essential advice on how to effectively document patient care activities from intake through discharge. This resource thoroughly covers the basics of documentation and includes many exemplars, cases, and forms, as well as a sample abbreviations used in rehabilitation settings. This book covers all the bases from ethics, to practical aspects of patient care documentation, to relevant and salient legal implications and illustrative case examples that will help students excel in practice.

Legal Aspects of Documenting Patient Care for Rehabilitation Professionals

Legal Aspects of Documenting Patient Care for Rehabilitation Professionals
Author: Ronald W. Scott
Publisher: Jones & Bartlett Learning
Total Pages: 214
Release: 2006
Genre: Business & Economics
ISBN: 9780763730468

Because communication among health care professionals can mean the difference between patient life and death, clear and effective patient care documentation is as important as the delivery of care itself. The rehabilitation professional faces formidable documentation responsibilities. Patient care documentation created by the rehabilitation professional must be accurate, comprehensive, concise, objective, and timely. In an interdisciplinary health care environment, documentation must also be expeditiously communicated to other professionals on the health care team.

Code of Ethics for Nurses with Interpretive Statements

Code of Ethics for Nurses with Interpretive Statements
Author: American Nurses Association
Publisher: Nursesbooks.org
Total Pages: 42
Release: 2001
Genre: Business & Economics
ISBN: 1558101764

Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.

Registries for Evaluating Patient Outcomes

Registries for Evaluating Patient Outcomes
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
Total Pages: 385
Release: 2014-04-01
Genre: Medical
ISBN: 1587634333

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Legal and Ethical Aspects of Healthcare

Legal and Ethical Aspects of Healthcare
Author: Sheila McLean
Publisher: Cambridge University Press
Total Pages: 266
Release: 2003-01-06
Genre: Law
ISBN: 9781841101286

There can be few aspects of life which have altered so dramatically in the past few decades as the relationship between medicine and the law. Treatments become more and more sophisticated as each advance in medicine is made. At the same time, the legal and moral issues surrounding such treatments have multiplied and have become increasingly sensitive and complex. Introducing the reader to important topics which include genetics, consent, negligence, research, assisted reproduction and mental health, the book outlines what the current law is, why it is so and what it may become in the future. Legal and Ethical Aspects of Healthcare is written by a lawyer and a doctor, each with extensive practical experience in the field. It provides wide-ranging coverage of the most important ethical and moral issues that face healthcare professionals, lawyers and the general public alike and it offers a unique insight into the problems that healthcare providers and patients can be expected to encounter both today and in the future. All healthcare professionals at any level of training or practice, lawyers and interested members of the general public. Book jacket.

Documentation for Rehabilitation - E-Book

Documentation for Rehabilitation - E-Book
Author: Lori Quinn
Publisher: Elsevier Health Sciences
Total Pages: 289
Release: 2015-11-18
Genre: Medical
ISBN: 0323312349

- NEW Standardized Outcome Measures chapter leads to better care and patient management by helping you select the right outcome measures for use in evaluations, re-evaluations, and discharge summaries. - UPDATED content is based on data from current research, federal policies and APTA guidelines, including incorporation of new terminology from the Guide to Physical Therapist 3.0 and ICD-10 coding. - EXPANDED number of case examples covers an even broader range of clinical practice areas.

Legal Aspects of Documenting Patient Care

Legal Aspects of Documenting Patient Care
Author: Ronald W. Scott
Publisher: Jones & Bartlett Learning
Total Pages: 248
Release: 2000
Genre: Business & Economics
ISBN: 9780834216303

This Second Edition Of Our Easy-To-Use Reference Takes A Risk Management Approach To Patient Care Documentation. It Shows Clinicians From A Wide Variety Of Disciplines How To Be Objective, Precise, Unambiguous, And Timely When Documenting Treatment-Related Matters. The Content Is Written In Straightforward Lay Language And Includes Sample Documentation Forms. The New Edition Includes Information On Computerized Documentation; Coverage Of Telehealth Issues; Updates On JCAHO, CARF, And NCQA Accreditation; And Documentation Problems Specific To Non-Hospital And Managed Care Settings.

Patient Practitioner Interaction

Patient Practitioner Interaction
Author: Carol M. Davis
Publisher: Taylor & Francis
Total Pages: 577
Release: 2024-06-01
Genre: Medical
ISBN: 1040142508

For over 20 years, Patient Practitioner Interaction: An Experiential Manual for Developing the Art of Health Care has been the cornerstone textbook for health care professionals to learn and develop effective interpersonal professional behavior. Building on the foundational knowledge of past editions, the updated Sixth Edition continues to teach health care professionals how to develop self-awareness and communication skills critical to providing ethical, compassionate, and professional treatment and care for and with their patients. Drs. Carol M. Davis and Gina Maria Musolino designed the textbook to assist both faculty and students through instructional and learning objectives emphasizing the importance of self-awareness in patient interaction. The Sixth Edition guides faculty in teaching the essential component required of all health care professionals: the ability to know oneself and one’s patterns of response in highly contentious situations. Through the featured learning activities and chapters on self-awareness and self-assessment, students will be able to better understand, change, and evaluate their learned patterns, values, and readiness for mature patient interactions for both typical and challenging patient care situations. The learned skills of self-awareness and effective interpersonal communication allow clinicians, faculty, and students to provide compassionate and therapeutic treatment and care for the good of the patients and their families. Developing health care providers are also guided in new focus areas in health care leadership and advocacy through interactive exercises. Features and benefits of the Sixth Edition: Four chapters on self-awareness to guide students in evaluating their values and readiness for mature interaction with patients under stressful situations, as well as their ability and capability for self-assessment and peer-assessment Interactive and online learning activities of real-life clinical situations and vignettes with tools provided to use in the classroom to make learning active and engaging. New content areas addressing leadership and advocacy with professional and community organizations; and self and peer assessment for fostering reflective professional development. An accompanying Instructor’s Manual to help faculty learn how to convey the material in effective ways Included with the text are online supplemental materials for faculty use in the classroom. Patient Practitioner Interaction: An Experiential Manual for Developing the Art of Health Care, Sixth Edition will continue to be the go-to resource for students, faculty, and clinicians in allied health professions for effective patient interaction.

The Occupational Therapist’s Workbook for Ensuring Clinical Competence

The Occupational Therapist’s Workbook for Ensuring Clinical Competence
Author: Marie Morreale
Publisher: Taylor & Francis
Total Pages: 520
Release: 2024-06-01
Genre: Medical
ISBN: 1040135749

The Occupational Therapist’s Workbook for Ensuring Clinical Competence is designed to help occupational therapy students and new practitioners demonstrate the practical problem-solving and real-life clinical reasoning skills essential for fieldwork and clinical practice. This user-friendly resource helps the reader apply occupational therapy concepts, improve narrative and pragmatic reasoning skills, and measure attainment of knowledge and skills needed for successful transition to fieldwork and entry-level practice. Inside The Occupational Therapist’s Workbook for Ensuring Clinical Competence, a wide variety of client conditions, situations, and intervention options are presented for different practice areas. Knowledge and skills are assessed for fundamental aspects of occupational therapy such as: professionalism, ethical decision-making, evidence-based practice, evaluation and intervention planning, occupation-based interventions, effective communication, supervision, role delineation, activity analysis, cultural competence, interprofessional collaboration, group process, emerging practice areas, department management, safety, documentation, billing and reimbursement, and more. Marie Morreale and Debbie Amini have incorporated numerous worksheets, learning activities, and worksheet answers in an easy-to-read format. The variety of assessment methods and learning activities used throughout the text stem from the authors' combined decades of teaching experience and include: case studies; vignettes; multiple choice, matching and true/false questions; fill in the blanks; experiential activities and more. Topics are broken down into smaller units and explained step-by-step to allow for easy independent study.Thoroughly explained answers are provided so that readers can check their responses with suggested best practice.These worksheets and learning activities are also useful as role-playing exercises, studying in small groups, and can aid in preparing for fieldwork or the national certification exam. Included with the text are online supplemental materials for faculty use in the classroom. The Occupational Therapist’s Workbook for Ensuring Clinical Competence is the go-to text for occupational therapy students and faculty, as well as new occupational therapy practitioners who require the practical problem-solving skills and the clinical decision-making skills essential for fieldwork and clinical practice.

Documentation Manual for Occupational Therapy

Documentation Manual for Occupational Therapy
Author: Crystal Gateley
Publisher: Taylor & Francis
Total Pages: 281
Release: 2024-06-01
Genre: Medical
ISBN: 1040141676

The best-selling, newly updated occupational therapy textbook Documentation Manual for Occupational Therapy, Fifth Edition, is made for students and early-career practitioners learning the critical skill of documentation. The workbook format offers students ample opportunities to practice writing occupation-based problem statements and goals, intervention plans, SOAP notes, and other forms of documentation. The Fifth Edition has also been updated to reflect changes in the American Occupational Therapy Association’s Occupational Therapy Practice Framework: Domain and Process, Fourth Edition. What’s included in Documentation Manual for Occupational Therapy: • Numerous worksheets for students to practice individual skills with suggested answers provided in the Appendix • Updated information on coding, billing, and reimbursement to reflect recent Medicare changes, particularly in post–acute care settings • Examples from a variety of contemporary occupational therapy practice settings Included with the text are online supplemental materials for faculty use in the classroom. Instructors in educational settings can visit the site for an Instructor’s Manual with resources to develop an entire course on professional documentation or to use the textbook across several courses. One of the most critical skills that occupational therapy practitioners must learn is effective documentation to guide client care, communicate with colleagues, and maximize reimbursement. The newly updated and expanded Documentation Manual for Occupational Therapy, Fifth Edition, will help students master their documentation skills before they ever step foot into practice.