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Legal Ethical And Practical Aspects Of Patient Care Documentation
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Book Synopsis Legal, Ethical, and Practical Aspects of Patient Care Documentation by : Ronald W. Scott
Download or read book Legal, Ethical, and Practical Aspects of Patient Care Documentation written by Ronald W. Scott and published by Jones & Bartlett Publishers. This book was released on 2013 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Legal Aspects of Documenting Patient Care by : Ronald W. Scott
Download or read book Legal Aspects of Documenting Patient Care written by Ronald W. Scott and published by Jones & Bartlett Learning. This book was released on 2000 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Legal Aspects of Documenting Patient Care for Rehabilitation Professionals by : Ronald W. Scott
Download or read book Legal Aspects of Documenting Patient Care for Rehabilitation Professionals written by Ronald W. Scott and published by Jones & Bartlett Learning. This book was released on 2006 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Code of Ethics for Nurses with Interpretive Statements by : American Nurses Association
Download or read book Code of Ethics for Nurses with Interpretive Statements written by American Nurses Association and published by Nursesbooks.org. This book was released on 2001 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Author :Agency for Healthcare Research and Quality/AHRQ Publisher :Government Printing Office ISBN 13 :1587634333 Total Pages :385 pages Book Rating :4.5/5 (876 download)
Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Legal and Ethical Issues in Nursing by : Ginny Wacker Guido
Download or read book Legal and Ethical Issues in Nursing written by Ginny Wacker Guido and published by . This book was released on 2001 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive sourcebook for basic legal knowledge, this reference covers the majority of legal issues in nursing in depth, citing current case examples from courts throughout the United States. It provides practical tips for improving patient care and reducing liability risks, and answers the legal questions most commonly asked by nurses. Offers a thorough explanation of the law, its sources, doctrines, and court system, and combines legal and ethical topics to show readers how both concepts affect nursing practice in all clinical settings. Features You Be the Judge/You Be the Ethicist sections that gives facts (many in great detail) from actual court cases (dating from 1993 to the present), along with questions that direct readers to consider chapter content in light of real court cases.
Book Synopsis Legal and Ethical Issues for Health Professions E-Book by : Elsevier
Download or read book Legal and Ethical Issues for Health Professions E-Book written by Elsevier and published by Elsevier Health Sciences. This book was released on 2018-11-02 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: With coverage of both legal and ethical issues, this text gives you the foundation to handle common health care challenges in everyday practice. Legal and Ethical Issues for Health Professions, 4th Edition includes practice cases specifically developed for key allied health programs along with enhanced pedagogical content. Additionally, it features a variety of exercises to help reinforce content from the book, as well as updated coverage of medical records, privacy, patient consent and abuse, the impact of interprofessional team work, and key industry trends. Detailed coverage of current legal and ethical issues and case law help facilitate interesting and relevant discussions. What If? boxes present ethical dilemmas and help you apply concepts from the book to real-life examples. Specialty practice cases provide practical application for specialties (Medical Assisting, MIBC, Pharm Tech, etc.) and help you relate your experience with practice. Increased coverage of the impact of interprofessional teamwork demonstrates the impact ethics have on health care work. NEW! Two all new chapters covering Medical Records and Key Trends in Healthcare. NEW! Enhanced coverage of patient consent and abuse outlines what students need to know about what’s right and wrong when working with patients. NEW! Updated case studies discuss the issues faced in a variety of healthcare settings.
Book Synopsis Essentials of Nursing Law and Ethics by : Susan J. Westrick
Download or read book Essentials of Nursing Law and Ethics written by Susan J. Westrick and published by Jones & Bartlett Publishers. This book was released on 2013-08-09 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: An Updated and Authoritative Resource on Nursing Law and Ethics The Essentials of Nursing Law and Ethics, Second Edition focuses on the legal aspect of Nursing as it relates to patient safety and quality, environmental health and safety, error reduction and ethical boundaries of practice. Other timely topics include the appropriate use of social media by nursing staff. The text is written by a nurse attorney who presents complex topics in an understandable manner while providing accurate and well researched content relevant to the practice. Extensive legal research by the author incorporates the most current relevant professional and legal references including case law. The text is uniquely organized into five major sections including: the law and nursing practice; liability in patient care; documentation issues; employment and the workplace; and ethics. New to this Edition: • Professional boundaries and use of social media • Quality and safety initiatives in nursing practice, including Quality and Safety Education for Nurses (QSEN) concepts and content, Institute of Medicine (IOM) recommendations • Environmental health and safety, including equipment safety • Staffing issues and implications for patient safety and liability • Workplace issues including factors to consider when accepting assignments, horizontal violence • Additional coverage on medication error reduction and safety initiatives • Updated content on electronic documentation, communication, and recordkeeping • Regulatory processes including state board use of off duty conduct in disciplinary proceedings, and data bank reporting, and remediation as an alternative to discipline • Expansion of content on ethical considerations in areas such as assisted suicide, patients’ rights, and applying the ANA Code of Ethics for Nurses • Moral distress and moral courage in ethical decision making • Update on the processes for basic legal research Key Features: Test bank featuring NCLEX type questions and rationale A glossary of legal terminology found within the text A Table of Cases for easier access to case law Expanded online resources and scholarly references included at the end of each chapter
Book Synopsis Medical Law, Ethics, & Bioethics for the Health Professions by : Carol D. Tamparo
Download or read book Medical Law, Ethics, & Bioethics for the Health Professions written by Carol D. Tamparo and published by F.A. Davis. This book was released on 2021-10-14 with total page 676 pages. Available in PDF, EPUB and Kindle. Book excerpt: Be prepared for the complexities of healthcare practice today! Meet the legal and ethical challenges you will face as a healthcare professional in ambulatory outpatient and clinical settings. The 8th Edition of this popular text guides you through legal concepts and the law, important ethical issues, and the emerging area of bioethics to prepare you to treat your patients with understanding, sensitivity, and compassion. Often complex concepts are brought to life with vignettes, case studies and other real-world examples of how legal theories, the law, and ethics apply to day-to-day practice in today’s rapidly evolving healthcare system. Clearly written and easy to read, it provides the strong ethical and legal foundation that today’s healthcare professionals need to better serve their clients. Access more online. Redeem the code inside new, printed texts to gain access to a wealth of resources online, including video case studies and decision-tree activities.
Book Synopsis Documentation for Rehabilitation - E-Book by : Lori Quinn
Download or read book Documentation for Rehabilitation - E-Book written by Lori Quinn and published by Elsevier Health Sciences. This book was released on 2015-11-18 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Better patient management starts with better documentation! Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy, 3rd Edition shows how to accurately document treatment progress and patient outcomes. Designed for use by rehabilitation professionals, documentation guidelines are easily adaptable to different practice settings and patient populations. Realistic examples and practice exercises reinforce concepts and encourage you to apply what you’ve learned. Written by expert physical therapy educators Lori Quinn and James Gordon, this book will improve your skills in both documentation and clinical reasoning. A practical framework shows how to organize and structure PT records, making it easier to document functional outcomes in many practice settings, and is based on the International Classification for Functioning, Disability, and Health (ICF) model — the one adopted by the APTA. Coverage of practice settings includes documentation examples in acute care, rehabilitation, outpatient, home care, and nursing homes, as well as a separate chapter on documentation in pediatric settings. Guidelines to systematic documentation describe how to identify, record, measure, and evaluate treatment and therapies — especially important when insurance companies require evidence of functional progress in order to provide reimbursement. Workbook/textbook format uses examples and exercises in each chapter to reinforce your understanding of concepts. 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.
Book Synopsis Documentation for Rehabilitation - E-Book by : Lori Quinn
Download or read book Documentation for Rehabilitation - E-Book written by Lori Quinn and published by Elsevier Health Sciences. This book was released on 2024-04-12 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: Better patient management starts with better documentation! Documentation for Rehabilitation, 4th Edition demonstrates how to accurately document treatment progress and patient outcomes using a framework for clinical reasoning based on the International Classification for Functioning, Disability, and Health (ICF) model adopted by the American Physical Therapy Association (APTA). The documentation guidelines in this practical resource are easily adaptable to different practice settings and patient populations in physical therapy and physical therapy assisting. Realistic examples and practice exercises reinforce the understanding and application of concepts, improving skills in both documentation and clinical reasoning. Workbook/textbook format with examples and exercises in each chapter helps reinforce understanding of concepts. Coverage of practice settings includes documentation examples in acute care, rehabilitation, outpatient, home care, nursing homes, pediatrics, school, and community settings. Case examples for a multitude of documentation types include initial evaluations, progress notes, daily notes, letters to insurance companies, Medicare documentation, and documentation in specialized settings. NEW! Movement Analysis – Linking Activities and Impairments content addresses issues related to diagnosis. NEW! An eBook version, included with print purchase, provides access to all the text, figures and references, with the ability to search, customize content, make notes and highlights, and have content read aloud. Updated case examples provide clinical context for patient documentation. Revised content, including updated terminology from the latest updates to the Guide to Physical Therapist Practice, provides the most current information needed to be an effective practitioner. Updated references ensure content is current and applicable for today’s practice.
Book Synopsis The Medical-Legal Aspects of Acute Care Medicine by : James E. Szalados
Download or read book The Medical-Legal Aspects of Acute Care Medicine written by James E. Szalados and published by Springer Nature. This book was released on 2021-04-02 with total page 694 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a comprehensive resource intended to provide a state-of-the-art overview of complex ethical, regulatory, and legal issues of importance to clinical healthcare professionals in the area of acute care medicine; including, for example, physicians, advanced practice providers, nurses, pharmacists, social workers, and care managers. In addition, this book also covers key legal and regulatory issues relevant to non-clinicians, such as hospital and practice administrators; department heads, educators, and risk managers. This text reviews traditional and emerging areas of ethical and legal controversies in healthcare such as resuscitation; mass-casualty event response and triage; patient autonomy and shared decision-making; medical research and teaching; ethical and legal issues in the care of the mental health patient; and, medical record documentation and confidentiality. Furthermore, this volume includes chapters dedicated to critically important topics, such as team leadership, the team model of clinical care, drug and device regulation, professional negligence, clinical education, the law of corporations, tele-medicine and e-health, medical errors and the culture of safety, regulatory compliance, the regulation of clinical laboratories, the law of insurance, and a practical overview of claims management and billing. Authored by experts in the field, The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a valuable resource for all clinical and non-clinical healthcare professionals.
Book Synopsis Physical Therapy Documentation by : Mia Erickson
Download or read book Physical Therapy Documentation written by Mia Erickson and published by Taylor & Francis. This book was released on 2024-06-01 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: Newly updated and revised, Physical Therapy Documentation: From Examination to Outcome, Third Edition provides physical therapy students, educators, and clinicians with essential information on documentation for contemporary physical therapy practice. Complete and accurate documentation is one of the most essential skills for physical therapists. In this text, authors Mia L. Erickson, Rebecca McKnight, and Ralph Utzman teach the knowledge and skills necessary for correct documentation of physical therapy services, provide guidance for readers in their ethical responsibility to quality record-keeping, and deliver the mechanics of note writing in a friendly, approachable tone. Featuring the most up-to-date information on proper documentation and using the International Classification of Functioning, Disabilities, and Health (ICF) model as a foundation for terminology, the Third Edition includes expanded examples across a variety of practice settings as well as new chapters on: Health informatics Electronic medical records Rules governing paper and electronic records Billing, coding, and outcomes measures Included with the text are online supplemental materials for faculty use in the classroom. An invaluable reference in keeping with basic documentation structure, Physical Therapy Documentation: From Examination to Outcome, Third Edition is a necessity for both new and seasoned physical therapy practitioners.
Book Synopsis Documentation and Reimbursement for Speech-Language Pathologists by : Nancy Swigert
Download or read book Documentation and Reimbursement for Speech-Language Pathologists written by Nancy Swigert and published by Taylor & Francis. This book was released on 2024-06-01 with total page 621 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although it is the least noticed by patients, effective documentation is one of the most critical skills that speech-language pathologists must learn. With that in mind, Documentation and Reimbursement for Speech-Language Pathologists: Principles and Practiceprovides a comprehensive guide to documentation, coding, and reimbursement across all work settings. The text begins with section 1 covering the importance of documentation and the basic rules, both ethical and legal, followed by an exploration of the various documentation forms and formats. Also included are tips on how to use electronic health records, as well as different coding systems for diagnosis and for procedures, with an emphasis on the link between coding, reimbursement, and the documentation to support reimbursement. Section 2 explains the importance of focusing on function in patient-centered care with the ICF as the conceptual model, then goes on to cover each of the types of services speech-language pathologists provide: evaluation, treatment planning, therapy, and discharge planning. Multiple examples of forms and formats are given for each. In section 3, Nancy Swigert and her expert team of contributors dedicate each chapter to a work setting in which speech-language pathologists might work, whether adult or pediatric, because each setting has its own set of documentation and reimbursement challenges. And since client documentation is not the only kind of writing done by speech-language pathologists, a separate chapter on “other professional writing” includes information on how to write correspondence, avoid common mistakes, and even prepare effective PowerPoint presentations. Each chapter in Documentation and Reimbursement for Speech-Language Pathologists contains activities to apply information learned in that chapter as well as review questions for students to test their knowledge. Customizable samples of many types of forms and reports are also available. Included with the text are online supplemental materials for faculty use in the classroom. Documentation and Reimbursement for Speech-Language Pathologists: Principles and Practice is the perfect text for speech-language pathology students to learn these vital skills, but it will also provide clinical supervisors, new clinicians, and speech-language pathologists starting a private practice or managing a department with essential information about documentation, coding, and reimbursement.
Book Synopsis Occupational Therapy for Physical Dysfunction by : Diane Dirette
Download or read book Occupational Therapy for Physical Dysfunction written by Diane Dirette and published by Lippincott Williams & Wilkins. This book was released on 2019-12-17 with total page 2008 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to help students become effective, reflective practitioners, this fully updated edition of the most widely used occupational therapy text for the course continues to emphasize the “whys” as well as the “how-tos” of holistic assessment and treatment. Now in striking full color and co-edited by renowned educators and authors Diane Powers Dirette and Sharon Gutman, Occupational Therapy for Physical Dysfunction, Eighth Edition features expert coverage of the latest assessment techniques and most recent trends in clinical practice. In addition, the book now explicitly integrates “Frames of Reference” to help students connect theories to practice and features a new six-part organization, thirteen all-new chapters, new pedagogy, and more.
Book Synopsis Legal and Ethical Issues for Health Professions - E-Book by : Elsevier Inc
Download or read book Legal and Ethical Issues for Health Professions - E-Book written by Elsevier Inc and published by Elsevier Health Sciences. This book was released on 2023-04-17 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn how to handle the legal and ethical challenges you will encounter in healthcare practice! Comprehensive yet easy to understand, Legal and Ethical Issues for Health Professionals, 5th Edition provides a guide to legal concepts and ethical principles and how they are applied in common healthcare scenarios. Content includes key topics such as the legal system, bioethical issues, employment laws, torts, and medical malpractice and liability, as well as current issues such as medical marijuana, the opioid crisis, gender identity, and public health and immunization policies. Questions in each chapter ask you to think critically as you relate concepts to real-world situations. Updated to meet the needs of today’s workplace, this text prepares you to fulfill the moral and professional responsibilities of the healthcare provider. Case studies reflect the issues faced in a variety of healthcare settings. Specialty practice cases provide practical application of legal and ethical issues in specialties such as medical assisting, MIBC, and pharm tech. What If? boxes present ethical dilemmas and help you apply concepts to real-life scenarios. Internet Activities at the end of every chapter suggest related topics for further research and study. Chapter objectives and key terms are listed at the beginning of each chapter, providing learning goals and definitions of important terminology. Relate to Practice boxes help you respond to situations that may occur in healthcare practice. Self-Reflection Questions challenge you to analyze and evaluate various legal and ethical issues. NEW! Mandatory Reporting and Public Duties in Healthcare chapter covers public health law, including the role of state and federal health agencies in managing infectious diseases, emergencies, chronic diseases, and injury prevention. NEW! Conflict Management chapter addresses aspects of this important workplace topic.
Book Synopsis Developing Clinical Competence by : Marie Morreale
Download or read book Developing Clinical Competence written by Marie Morreale and published by Taylor & Francis. This book was released on 2024-06-01 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: A newly updated, user-friendly resource for occupational therapy assistant students and new practitioners, Developing Clinical Competence: A Workbook for the OTA, Second Edition assists readers in developing practical problem-solving and “‘real-life”’ skills essential for fieldwork and clinical practice. Maintaining the easy-to-read workbook format from the First Edition, this book is filled with learning activities, worksheets, and detailed answer explanations, as well as expanded chapter content and revised references. Marie J. Morreale breaks down competencies into step-by-step units to allow for independent study. With multiple choice, matching, true/false, and fill-in-the-blanks questions; case studies; vignettes; and experiential activities, this Second Edition presents helpful tips in their most useful format. Guiding the reader through occupational therapy clinical decision making, professional conduct, and meeting standards of care for various practice areas, each chapter is fully independent and can be read in the order most conducive to the reader’s individual learning needs. This text can help readers measure attainment of knowledge and skills when preparing for fieldwork, the national certification exam, or transitioning to entry-level practice. New for the Second Edition: Fundamental topics including effective communication, assessment of client function, safety, supervision, documentation, group process, and department management Additional questions regarding behavioral health and pediatric practice Expanded content for professionalism, ethics, cultural sensitivity, and interventions to support occupations Topics such as wheeled mobility, hand function development, infection control, feeding/eating, wound care basics, quality improvement, and more Added content regarding the American Occupational Therapy Association documents, evidence-informed practice, advocacy, chronic conditions, and new trends Incorporated concepts and principles from the Occupational Therapy Practice Framework: Domain and Process, Fourth Edition Included with the text are online supplemental materials for faculty use in the classroom. Addressing fundamental areas of occupational therapy practice for a wide variety of conditions, situations, and practice settings, Developing Clinical Competence: A Workbook for the OTA, Second Edition includes helpful hints and practical clinical tips to help the OTA implement appropriate interventions and communicate more effectively.
