Functional Outcomes Documentation for Rehabilitation - Table of Contents:

• Section 1 � Theoretical Foundations

  • �1. Introduction

  • �2. Essentials of documentation

  • �3. Overview of the Functional Outcomes Approach to Documentation: The Initial Evaluation Format

• Section 2 � Implementing a Functional Outcomes Approach to Documentation

  • �4. Documenting Reason for referral: medical diagnosis and pathology

  • �5. Documenting reason for referral: disability and social history

  • �6. Documenting Functional limitations

  • �7. Documenting Impairments

  • �8. Documenting Assessment and PT Diagnosis

  • �9. Documenting Goals

  • �10. Documenting Intervention Plan

• �Section 3 � Alternative Documentation Formats

  • �11. Progress note format - elements of the SOAP note

  • �12. Specialized documentation

  • �13. Computerized documentation