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Doody's Review ServiceReviewer: Deborah M. King, PTA, CPI (North Hills Orthopedic and Sports Physical Therapy)
Description: This book provides a comprehensive, well-organized format that can be used by physical therapist assistant (PTA) students, licensed PTAs, and educators.
Purpose: The purpose is to teach PTAs and PTA students the basics of documentation. The book emphasizes the importance of detailed documentation and how this documentation correlates with the role of physical therapy in restoring optimal function to patients. The book clearly outlines the objectives that the PTA or PTA student needs to adhere to when documenting a patient's progress after initial evaluation, through daily notes, to discharge.
Audience: It is geared toward PTA students as well as licensed PTAs. It would be a worthwhile investment for both groups. It also could serve as a review for any PTA, especially one planning a job change to a different rehab setting. It could be used to brush up on the style of progress notes required in a particular clinical setting.
Features: This book covers just about every topic related to documentation, including acceptable formats of documentation, reimbursement issues, and legal and ethical considerations. At the end of each chapter there is an extensive list of review questions and application exercises. The review questions provide a good overview of what is covered in each chapter and the application exercises would be a great study tool for PTA students. Another bonus for the student as well as the PT or PTA professional is Appendix A, which contains a comprehensive list of abbreviations and symbols used in medical documentation.
Assessment: This would be a welcome addition to any PTA curriculum. When in school, students are required to purchase many textbooks that they use once and never open again. This book is something they could leave at the clinic where they work and use periodically for reference.