Health & Healthcare | By September 10, 2008 | By Nirupama Shankar, PT, MHS | 1 Comment

Documentation in Rehabilitation

It goes something like this… “Patient seen for initial physical therapy evaluation on Aug 7th 2008. Patient is a 65-year old male, who sustained a CVA on June 26th 2008. Patient was accompanied to the ER when complaints of…”. Documentation, commonly referred to as “notes” is often the bane of the rehabilitation professionals work day. It is common to hear therapists and nurses and physicians mention how much they enjoy interacting with their patients and treating them; but they often have less positive things to say about the documentation process. Read more →