Writing Patient/Client Notes


Book Description

Develop all of the skills you need to write clear, concise, and defensible patient/client care notes using a variety of tools, including SOAP notes. This is the ideal resource for any health care professional needing to learn or improve their skills—with simple, straight forward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management and WHO’s ICF model.




ICF Core Sets


Book Description

ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI) Practical, standardized tools to assess and document functioning, disability, and health according to the WHO ICF in a variety of health conditions and settings The WHO's International Classification of Functioning, Disability and Health (ICF) is the accepted common framework for understanding and documenting functioning and disability. The ICF Core Sets selected for this book have now been developed to facilitate the standardized use of the ICF in real-life clinical practice and thus improve quality of care. By using this collection of clear checklists, definitions, and forms, clinicians will quickly and easily be able to assess clients with a range of typical health conditions at different stages and in a variety of health care contexts. This manual: * Introduces the concepts of functioning and disability * Describes how and why the ICF Core Sets have been developed * Shows, step-by-step, how to apply the ICF Core Sets in clinical practice * Includes all 31 ICF Core Sets plus documentation forms (more than 1,400 pages of printable PDFs) on a CD-ROM. This manual is inherently multi-professional and will be of benefit not only for practitioners working in various health care contexts but also for students and teachers.




ICF Core Sets


Book Description

New fully revised edition: Updated information on 8 new Core Sets and the Generic Sets Includes ICD-11 codes New details on the Core Set development process New section on ICF-based tools Five detailed case examples More about the book WHO's International Classification of Functioning, Disability and Health (ICF) is the internationally accepted standard for assessing, documenting, and reporting functioning and disability. The ICF Core Sets highlighted in this second edition of the book have been developed to facilitate the standardized use of the ICF in real-life clinical practice. Consequently, they can guide clinical quality management efforts. This edition has been updated to reflect developments in the ICF Core Sets, including updated information on eight new Core Sets and the Generic Sets, the new ICD-11 codes, more details on the Core Set development process, and a new section on ICF-based tools. This manual: Introduces the concepts of functioning and the biopsychosocial model of the ICF Describes how and why the ICF Core Sets have been developed Explains step-by-step an approach for applying the ICF Core Sets in clinical practice Provides practical tips for clinicians to apply the easy-to-use, comprehensive documentation form Includes case examples illustrating the assessment of people with different health conditions and in different healthcare contexts This manual is inherently multi-professional and will be of benefit not only for practitioners working in various healthcare contexts but also for students and teachers.




International Classification of Functioning, Disability and Health


Book Description

The aim of the ICF classification is to provide a unified and standard language and framework for the description of health and health-related states. It defines components of health and some health-related components of well-being (such as education and labour).




Clinical Pathways in Stroke Rehabilitation


Book Description

This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.







International Classification of Functioning, Disability, and Health


Book Description

This publication is a derived version of the International Classification of Functioning, Disability and Health (ICF, WHO, 2001) designed to record characteristics of the developing child and the influence of environments surrounding the child . This derived version of the ICF can be used by providers, consumers and all those concerned with the health, education, and well being of children and youth. It provides a common and universal language for clinical, public health, and research applications to facilitate the documentation and measurement of health and disability in child and youth populations.--Publisher's description.




Functional Assessment for Adults with Disabilities


Book Description

The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs. To receive SSDI or SSI disability benefits, an individual must meet the statutory definition of disability, which is "the inability to engage in any substantial gainful activity [SGA] by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." SSA uses a five-step sequential process to determine whether an adult applicant meets this definition. Functional Assessment for Adults with Disabilities examines ways to collect information about an individual's physical and mental (cognitive and noncognitive) functional abilities relevant to work requirements. This report discusses the types of information that support findings of limitations in functional abilities relevant to work requirements, and provides findings and conclusions regarding the collection of information and assessment of functional abilities relevant to work requirements.




An Emerging Approach for Education and Care


Book Description

An Emerging Approach for Education and Care provides a synthesis of the extensive research that has been conducted worldwide about the International Classification of Functioning, Disability and Health for Children and Youth in education and care. The main purpose of the ICF is to provide a classification of functioning for adults and children with difficulties, considering their everyday lives, all the activities they perform and the environments they are embedded in, in addition to their health condition, which has been the traditional focus of Special Education provision in many countries. Each chapter presents an evidence-based study describing how the ICF has been used to improve the provision of services for children and young people with Special Educational Needs around the world. Moreover, each chapter is written by an expert on the ICF from a different country, thus providing an overview of how the ICF can be applied in international educational contexts with different educational and health systems and cultural backgrounds. This synthesis of world-leading research focuses on the ICF as a framework to approach assessment, intervention and classification for children and young people with SEN, whilst also providing practical examples of how it can be implemented. An Emerging Approach for Education and Care will be essential reading for academics, researchers and practitioners working on Special Educational Needs provision and rehabilitation. It should also be of great interest to those involved in the study of early childhood education, and for postgraduate students aspiring to work in these settings.