Legal, Ethical, and Practical Aspects of Patient Care Documentation: A Guide for Rehabilitation Professionals, 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. Legal, Ethical, and Practical Aspects of Patient Care Documentation, Fourth Edition 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. Even after graduation, this text is perfect for ready reference in the clinic!FEATURES
All updated materials and references
A chapter on patient informed consent documentation issues
Focus on electronic medical records (EMRs)
The patient care record, as a legal document, used in legal proceedings
Exemplars showing purposes, methods, and techniques of patient care documentation
Case examples in the ethical aspects of patient care documentation
Documentation formats
Documentation activities
25 documentation errors and suggestions
Background information on the litigation environment written by a health law attorney
Focus on Ethics vignettes
Extensive reference lists
Universal coverage of health disciplines
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ISBN-13
978-0-7637-9910-6 (9780763799106)
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Schweitzer Klassifikation
Ron Scott has been a health professional (LPN, OR technician, PT, clinical manager and administrator) since 1970, an attorney-mediator since 1983, and an academician since 1985.' One of his principal passions is helping health care professionals and organizations minimize their clinical liability risk exposure through effective patient care documentation that is accurate, communicative, complete, concise, objective and timely.' Ron is the author of 13 texts and more than 100 health law-related articles.' He is a Professor at Rocky Mountain University of Health Professions (OT, nursing, PT) and is adjunct faculty at Husson University, Webster University, the University of Indianapolis and the University of Montana.''''''''''