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Documentation Manual for Occupational Therapy : Writing SOAP Notes by Sherry...

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Item specifics

Condition
Acceptable: A book with obvious wear. May have some damage to the cover but integrity still intact. ...
ISBN
9781630912314

About this product

Product Identifiers

Publisher
Slack, Incorporated
ISBN-10
163091231X
ISBN-13
9781630912314
eBay Product ID (ePID)
9038650236

Product Key Features

Number of Pages
280 Pages
Language
English
Publication Name
Documentation Manual for Occupational Therapy : Writing Soap Notes
Subject
Clinical Medicine, Allied Health Services / Occupational Therapy, Medical History & Records, Handwriting
Publication Year
2016
Features
New Edition
Type
Textbook
Subject Area
Language Arts & Disciplines, Medical
Author
Crystal A. Gateley, Sherry Borcherding
Format
Trade Paperback

Dimensions

Item Height
0.8 in
Item Weight
24.1 Oz
Item Length
11 in
Item Width
8.5 in

Additional Product Features

Edition Number
4
Intended Audience
College Audience
LCCN
2016-025712
Dewey Edition
23
Reviews
"This manual is practical and user-friendly and comes with a very handy cardstock pullout memory card on documentation that occupational therapists will find that they consult regularly." - Edith Lemay, Canadian Journal of Occupational Therapy
Illustrated
Yes
Dewey Decimal
615.8/515
Table Of Content
Dedication Acknowledgments About the Authors Chapter 1 Documenting the Occupational Therapy Process Chapter 2 The Health Record Chapter 3 Reimbursement, Legal, and Ethical Considerations Chapter 4 General Guidelines for Documentation Chapter 5 Writing Occupation-Based Problem Statements Chapter 6 Writing Measurable Occupation-Based Goals and Objectives Chapter 7 Writing the "S"--Subjective Chapter 8 Writing the "O"--Objective Chapter 9 Writing the "A"--Assessment Chapter 10 Writing the "P"--Plan Chapter 11 Making Good Notes Even Better Chapter 12 Intervention Planning Chapter 13 Documenting Different Stages of Service Delivery Chapter 14 Documentation in Different Practice Settings Chapter 15 Electronic Documentation Chapter 16 Examples of Different Kinds of Notes Appendix: Suggestions for Completing the Worksheets Index
Edition Description
New Edition
Synopsis
One of the most critical skills that occupational therapists must learn is effective documentation. With that idea in mind, Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition presents a systematic approach to a standard form of health care documentation: the SOAP note. The clinical reasoning skills underlying SOAP note documentation can be adapted to fit the written or electronic documentation requirements of nearly any occupational therapy practice setting. This new Fourth Edition has been updated to reflect current information essential to contemporary occupational therapy practice, including the AOTA's Occupational Therapy Practice Framework: Domain & Process, Third Edition., One of the most critical skills that occupational therapists must learn is effective documentation. With that idea in mind, Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition presents a systematic approach to a standard form of health care documentation: the SOAP note. The clinical reasoning skills underlying SOAP note documentation can be adapted to fit the written or electronic documentation requirements of nearly any occupational therapy practice setting. This new Fourth Edition has been updated to reflect current information essential to contemporary occupational therapy practice, including the AOTA's Occupational Therapy Practice Framework: Domain & Process, Third Edition . Documentation Manual for Occupational Therapy, Fourth Edition also includes the COAST method, a specific format for writing occupation-based goals. Crystal Gateley and Sherry Borcherding use a "how-to" strategy by breaking up the documentation process into a step-by-step sequence. Numerous worksheets are provided to practice each individual skill as well as the entire SOAP note process. In addition, examples from a variety of practice settings are included as a reference. Although this text addresses documentation in occupational therapy practice, the concepts can be generalized across other health care disciplines as well. New in the Fourth Edition: The chapter focusing on reimbursement, legal, and ethical considerations has been vastly expanded to provide an overview of sources of reimbursement, regulatory guidelines, and legal and ethical issues. A new chapter focusing on electronic documentation has been added to illustrate how the concepts presented in this text can be used in various electronic documentation software products. Faculty will have access to 12 videos that can be used for instructional purposes and documentation practice. This edition includes an expanded Instructor's Manual with sample quiz questions for several of the chapters, templates and grading rubrics for documentation assignments, and other instructional resources. Instructors in educational settings can visit www.efacultylounge.com for additional material to be used for teaching in the classroom. Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition presents essential documentation skills that all occupational therapy clinicians, faculty, and students will find critical for assessing, treating, and offering the best evidence available for their clients.
LC Classification Number
RM735.4

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