内容简介：
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!F EATURES 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