Guide to Clinical Documentation

Name: Guide to Clinical Documentation
Brand: KETAB DOWNLOAD
Price: 10.0 USD
Availability: InStock

Description

3rd Edition

by Debra D. Sullivan

Understand the when, why, and how! Here’s your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward ‘how-to’ approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You’ll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand.

Learning objectives in eachchapter to help you recognize important concepts at the beginning of thechapter, and reinforce what is summarized at the end of each chapter

Coverage of -problem-oriented medical records, patients with multiple complaints or multiple conditions

Hands-on, problem-based exercises

Worksheets at the end of each chapter

Examples of "good" and "bad" documentation for evaluation

Real-life case studies that illustrate the potential consequences of poor or inaccurate documentation.

Explanations of use and terminology of ICD-10-CM codes in billing

Boxes highlighting medicolegal considerations.