Guide To Clinical Documentation
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Guide To Clinical Documentation
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Author : Debra D Sullivan
language : en
Publisher: F.A. Davis
Release Date : 2018-07-25
Guide To Clinical Documentation written by Debra D Sullivan and has been published by F.A. Davis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-25 with Medical categories.
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.
Guide To Clinical Documentation
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Author : Debra Sullivan
language : en
Publisher: F.A. Davis
Release Date : 2011-12-22
Guide To Clinical Documentation written by Debra Sullivan and has been published by F.A. Davis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-12-22 with Medical categories.
Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.
Guide To Clinical Documentation
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Author : Clyde Goodner
language : en
Publisher: Independently Published
Release Date : 2022-02-23
Guide To Clinical Documentation written by Clyde Goodner and has been published by Independently Published this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-02-23 with categories.
Clinical Documentation in the 21st Century: Executive Summary of a Policy Position Paper from the American College of Physicians Unique Clinical documentation was created to follow a patient's condition and impart the creator's activities and considerations to different individuals from the consideration group. Over the long haul, different partners have put extra necessities on the clinical documentation process for purposes other than direct consideration of the patient. All the more as of late, new data advances, for example, electronic wellbeing record (EHR) frameworks, have prompted further changes in the clinical documentation process.
Medical Typing For Beginners
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Author : Pasquale De Marco
language : en
Publisher: Pasquale De Marco
Release Date : 2025-07-23
Medical Typing For Beginners written by Pasquale De Marco and has been published by Pasquale De Marco this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-07-23 with Medical categories.
In the dynamic and demanding healthcare environment, accurate and efficient communication is vital. Medical professionals rely heavily on proficient medical typing skills to navigate the complexities of patient records, medical reports, and other essential documents. "Medical Typing for Beginners" is a comprehensive guide designed to empower individuals with the knowledge and skills to excel in this crucial field. This book takes a step-by-step approach, introducing readers to the fundamentals of medical terminology and document formatting. Through practical exercises and real-world examples, you'll gain a strong foundation in medical abbreviations, prefixes, and suffixes, enabling you to navigate the intricacies of medical documentation with confidence. Beyond the basics, "Medical Typing for Beginners" delves into the ethical and legal considerations associated with medical documentation. You'll learn the importance of maintaining patient confidentiality, adhering to regulatory guidelines, and ensuring the accuracy and integrity of medical records. As technology continues to reshape the healthcare industry, this book also explores the use of medical typing software and electronic health records (EHRs). By understanding the capabilities of these tools, you can streamline the documentation process, enhance communication, and contribute to improved patient care. Whether you're a seasoned medical professional looking to enhance your skills or a newcomer to the field seeking a solid foundation, "Medical Typing for Beginners" is an invaluable resource. With its comprehensive coverage and accessible approach, this book will guide you towards mastery of this essential skill, empowering you to contribute effectively to the healthcare team and provide exceptional patient care. Join the ranks of proficient medical typists and elevate your communication skills within the healthcare industry. Order your copy of "Medical Typing for Beginners" today and take the first step towards mastering this essential skill. If you like this book, write a review!
The Physician Advisor S Guide To Clinical Documentation Improvement
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Author : Trey La Charité
language : en
Publisher:
Release Date : 2014
The Physician Advisor S Guide To Clinical Documentation Improvement written by Trey La Charité and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Diagnosis related groups categories.
Certified Clinical Documentation Specialist Exam Pathway 2025 2026 Version
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Author : Brittany Deaton
language : en
Publisher: Tektime
Release Date : 2025-07-07
Certified Clinical Documentation Specialist Exam Pathway 2025 2026 Version written by Brittany Deaton and has been published by Tektime this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-07-07 with Medical categories.
🚀 Master the CCDS Exam with Confidence Are you preparing for the Certified Clinical Documentation Specialist (CCDS) exam? This updated 2025/2026 guide is your strategic roadmap—designed to supercharge your preparation and boost your success! 📘 What’s Inside 🎯 Fully updated for 2025–2026: Covers all core domains—coding and reimbursement, documentation standards, query practice, program metrics, and compliance. 🧠 600 practice questions: Sharpen your test-taking skills with a high-yield question bank that mirrors the actual CCDS exam. 🧾 Case-based scenarios: Apply your knowledge with real-world clinical examples to reinforce key concepts. ✅ Detailed answer explanations: Learn the ”why” behind every answer to deepen your understanding and reduce errors. 🧭 Expert test strategies: Maximize your score with tips on time management, process-of-elimination techniques, and focus tactics. 🔁 Dual-purpose guide: Use it not only for exam prep but also as a practical reference in your day-to-day CDI role. 🌟 Career-building insights: Enhance your knowledge of physician engagement, program development, and performance reporting. 📊 Why This Book Stands Out Comprehensive and exam-focused: Every section is aligned with the latest CCDS exam blueprint. Practice-driven success: With 600 exam-style questions, you'll build confidence and readiness. Realistic exam format: Includes single-best-answer and scenario-based formats to match what you’ll face on test day. Everyday utility: Whether you're new to CDI or an experienced professional, this guide offers lasting value in clinical settings. 🎯 Perfect For… 👩⚕️ Aspiring CCDS professionals from nursing, HIM, or coding backgrounds. 🏥 Healthcare professionals aiming to improve documentation accuracy and reimbursement outcomes. 🧰 Those seeking a dependable study and reference tool for certification and beyond. Translator: Brittany Deaton PUBLISHER: TEKTIME
Wilkins Clinical Assessment In Respiratory Care E Book
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Author : Albert J. Heuer
language : en
Publisher: Elsevier Health Sciences
Release Date : 2013-03-29
Wilkins Clinical Assessment In Respiratory Care E Book written by Albert J. Heuer and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-29 with Medical categories.
Master the patient assessment skills you need to provide effective respiratory therapy! Wilkins' Clinical Assessment in Respiratory Care, 7th Edition prepares you to assist physicians as they make treatment decisions, evaluate the effectiveness of treatment, and determine if changes in the treatment need to be made. This edition expands coverage of infection control and cardiopulmonary symptoms, and follows a more logical progression through the many aspects of assessment. Written by Dr. Albert Heuer and Dr. Craig Scanlan, this comprehensive resource also helps you prepare for the NBRC CRT and RRT credentialing exams by cross-referencing material within the book to the NBRC exam matrices. A comprehensive approach covers all of the most important aspects of assessment, so you can assess patients effectively. Case studies offer real-life clinical scenarios challenging you to interpret data and make accurate patient assessments. Assessment questions help you review by reflecting the learning objectives and the NBRC Exam format, with answers including rationales for correct answer options. Ask Yourself boxes list questions that you should ask patients (e.g., coughing, sputum, shortness of breath) or ask yourself (e.g., lung sounds you are hearing, blood pressure, respiratory rate). Simply Stated boxes highlight and promote understanding of important concepts. Learning objectives, chapter outlines, chapter overviews, and key terms lists begin each chapter, preparing you for the key topics and content you will learn. Key Point summaries at the end of each chapter emphasize the learning objectives and provide an overview of important material. NEW! Correlation of content to the NBRC combined CRT/RRT exam matrices is provided on the Evolve companion website, helping you prepare for these difficult exams by cross-referencing material within the book to the NBRC exam matrices for the CRT and RRT credentialing exams. NEW! Emphasis on infection control includes expanded content on topics such as the prevention and treatment of VAP (ventilator-associated pneumonia) and nosocomial infections in the hospital and home setting. NEW or expanded coverage includes cardiopulmonary symptoms, neurologic assessment, blood gas interpretation, and Electronic Medical Records (EMR). NEW! Expert authors Albert Heuer and Craig Scanlan are well-known, recognized educators in the field of respiratory therapy. NEW! List of common abbreviations on the inside front cover offers quick and easy access to abbreviations and acronyms used in the text and throughout the profession.
Behavioral Medicine A Guide For Clinical Practice 4 E
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Author : Mitchell D. Feldman
language : en
Publisher: McGraw Hill Professional
Release Date : 2014-07-06
Behavioral Medicine A Guide For Clinical Practice 4 E written by Mitchell D. Feldman and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-06 with Medical categories.
The #1 guide to behavioral issues in medicine Thorough, practical discussion of the full scope of the physician-patient relationship The goal of Behavioral Medicine is to help practitioners and students understand the interplay between psychological, physical, social and cultural issues of patients. Within its pages you will find real-world coverage of behavioral and interactional issues that occur between provider and patient in everyday clinical practice. You will learn how to deliver bad news, how to conduct an effective patient interview, how to care for patients at the end of life, how to clinically manage common mental and behavioral issues in medical patients, the principles of medical professionalism, motivating behavior change, and much more. As the leading text on the subject, this trusted classic delivers the most definitive, practical overview of the behavioral, clinical, and social contexts of the physician-patient relationship. The book is case based to reinforce learning through real-world examples, focusing on issues that commonly arise in everyday medical practice and training. One of the significant elements of Behavioral Medicine is the recognition that the wellbeing of physicians and other health professionals is critically important to caring for patients. Enhanced by new and updated content throughout, Behavioral Medicine provides insight and information not available anywhere else for those who seek to provide comprehensive high-quality care for patients. And it does so in a way that acknowledges patients as people who have problems that often go far beyond the reach of traditional medical care.
Bates Guide To Physical Examination And History Taking
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Author : Rainier P. Soriano
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2025-06-12
Bates Guide To Physical Examination And History Taking written by Rainier P. Soriano and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-06-12 with Medical categories.
Bates’ Guide to Physical Examination and History Taking 14th Edition is the trusted resource for mastering patient assessment, carefully tailored to meet the evolving needs of students, educators, and healthcare practitioners. Whether you’re beginning your career in healthcare or seeking to enhance your clinical skills, this updated edition has been thoughtfully updated to address the evolving needs of today’s healthcare landscape.
Behavioral Medicine A Guide For Clinical Practice Third Edition
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Author : Mitchell Feldman
language : en
Publisher: McGraw Hill Professional
Release Date : 2007-11-27
Behavioral Medicine A Guide For Clinical Practice Third Edition written by Mitchell Feldman and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-11-27 with Medical categories.
5 STAR DOODY'S REVIEW! "This is an extraordinarily thorough, useful book. It manages to summarize numerous topics, many of which are not a part of a traditional medical curriculum, in concise, relevant chapters. Physicians who do not understand the dynamics behind the doctor-patient relationship usually end up being poor doctors, and this book reviews the many behavioral issues that patients have that can affect this relationship. This is a very welcome addition to the medical education literature, and should be required reading for all practicing clinicians."--Doody's Review Service Behavioral Medicine delivers practical coverage of behavioral and interactional issues that occur between provider and patient in everyday clinical practice. You will learn how to deliver bad news, how to conduct an effective patient interview, how to clinically manage behavioral issues in the dying patient, the principles of medical professionalism, behavioral issues in men's and women's health, and much more. Features: Thorough but practical discussion of the scope of the physician-patient relationship Includes extensive use of cases and clinical vignettes Complete coverage of medical disorders that influence both physician and patient behavior in clinical practice