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Documentation Basics for the Physical Therapist Assistant
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Table of Contents

About the Authors

Preface

 

Chapter 1            Disablement and Physical Therapy Documentation

Mia L. Erickson, PT, EdD, CHT, ATC

Chapter 2            The Physical Therapy Episode of Care

Rebecca McKnight, PT, MS

Chapter 3            Reasons for Documenting

Mia L. Erickson, PT, EdD, CHT, ATC

Chapter 4            Documentation Formats

Mia L. Erickson, PT, EdD, CHT, ATC

Chapter 5            Electronic Medical Record

Mia L. Erickson, PT, EdD, CHT, ATC

Chapter 6            Basic Guidelines for Documentation

Rebecca McKnight, PT, MS and Mia L. Erickson, PT, EdD, CHT, ATC

Chapter 7            Interpreting the Physical Therapist Initial Evaluation

Rebecca McKnight, PT, MS

Chapter 8            Writing the Subjective Section

Rebecca McKnight, PT, MS

Chapter 9            Writing the Objective Section

Rebecca McKnight, PT, MS

Chapter 10          Writing the Assessment and Plan Sections

Rebecca McKnight, PT, MS

Chapter 11          Payment Basics

Mia L. Erickson, PT, EdD, CHT, ATC

Chapter 12          Legal and Ethical Considerations for Physical Therapy Documentation

Mia L. Erickson, PT, EdD, CHT, ATC

Chapter 13          Documentation Across the Curriculum

Mia L. Erickson, PT, EdD, CHT, ATC

                                Traumatic Brain Injury

Tracy Rice, PT, MPH, NCS

                                Spinal Cord Injury

Tracy Rice, PT, MPH, NCS

Appendix: Abbreviations and Symbols

Index

About the Author

Mia L. Erickson, PT, EdD, CHT, ATC, is a faculty member in the Physical Therapy Department at Midwestern University in Glendale, AZ. Mia earned a bachelor’s degree from West Virginia University in secondary education in 1994 and a master of science degree in physical therapy from the University of Indianapolis in 1996. Mia earned a doctoral degree in education from West Virginia University with an emphasis on curriculum and instruction in 2002. Her clinical practice is in the area of hand and upper-extremity rehabilitation.

Rebecca McKnight, PT, MS, received her bachelor of science degree in physical therapy from St. Louis University in 1992 and her postprofessional master of science degree from Rocky Mountain University of Health Professions in 1999. She taught at Ozarks Technical Community College for 14 years, serving as Program Director for 9 of those years. Rebecca is an active member of the American Physical Therapy Association and is a former chair of the Physical Therapist Assistant Educators Special Interest Group of the education section. Rebecca has spoken at many national meetings on physical therapist assistant curriculum design and programmatic assessment. She is the 2009 recipient of the F.A. Davis Award for Outstanding Physical Therapist Assistant Educator. Rebecca has been providing educational consultation in the areas of curriculum design, development, and assessment for physical therapist assistant programs nationwide since 2007.
 

Reviews

“This book is thorough and well organized. It presents concepts supported with practical examples and scenarios. Documentation guides can easily be updated annually given the rate at which the profession continues to change, and much has changed since the previous edition. With CMS, APTA, and ICF as dominant sources for this book's documentation structure, readers can be confident that the book is relevant and the information accurate.”          - Jason R. Oliver, PTA, Doody's Book Review Service

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