TY - BOOK AU - Quinn, Lori AU - Gordon, James,;Quinn, Lori. ED - ED - ED - ED - TI - : a guide to clinical decision making SN - 9781416062219 (pbk. : alk. paper) SN - 2 PY - 2010///];copyright 201046 CY - Maryland Heights, Missouri PB - Saunders/Elsevier KW - KW - 2 KW - 0 KW - 6 KW - 20 KW - Physical therapy.;Physical therapy assistants.;Medical protocols.;Communication in medicine.;Medical Records.;Physical Therapy Modalities.;Disability Evaluation.;Documentation.;Patient Care Planning N1 - Rev. ed. of: Functional outcomes documentation for rehabilitation. c2003; Includes bibliographical references (p. 205-208) and index; Disablement models, ICF framework, and clinical decision making -- Essentials of documentation -- Legal aspects of documentation -- Clinical decision making and the initial evaluation format -- Documenting reason for referral : background information and health condition -- Documenting reason for referral : participation and social history -- Documenting activities -- Documenting impairments in body structure and function -- Documenting the assessment : summary and diagnosis -- Documenting goals -- Documenting the plan of care -- Treatment notes and progress notes using a modified SOAP format -- Specialized documentation -- Documentation in pediatrics / Lori Quinn and Agnes McConlogue -- Payment policy and coding / Helene M. Fearon, Stephen M. Levine, and Lori Quinn -- Computerized documentation / Janet Herbold; 5 ER -