Documenting Occupational Therapy Practice VitalSource eText (3e) : 9780133785876

Documenting Occupational Therapy Practice VitalSource eText (3e)

 
Edition
 
3
ISBN
 
9780133785876
ISBN 10
 
0133785874
Published
 
20/05/2015
Published by
 
Pearson Higher Ed USA
Pages
 
Format
 
 
Title type
eBook
$65.00
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Description

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About the book

For courses in Foundations of Occupational Therapy, Intro to Occupational Therapy Practice, Occupational Therapy Practice Skills, and Occupational Therapy Management.

A comprehensive guide to creating effective documentation in occupational therapy.

Documenting Occupational Therapy Practice, 3/e is the most comprehensive text on occupational therapy documentation currently on the market, covering general documentation principles, clinical documentation, electronic documentation, school system documentation, and documentation of administrative tasks. More than just a how-to manual, the text explores important ethical, legal, and language issues related to documentation in addition to presenting step-by-step strategies for creating successful SOAP notes, communications, and documentation. The Third Edition has been fully updated to reflect current AOTA official documents and new electronic documentation tools, and has been reorganized to improve readability. Effective review tools help readers truly master documentation techniques and strategies, while the text’s accompanying website provides additional learning resources that can be accessed on the go.

Table of contents
SECTION I: USE OF LANGUAGE 1
Chapter 1 Introduction
Chapter 2 Professional Communication
Chapter 3 Buzzwords, Jargon, and Abbreviations
Chapter 4 The Occupational Therapy Practice Framework and Other Documents
Chapter 5 Impact of Models and Frames of Reference
Chapter 6 Document with CARE: General Tips for Good Documentation

SECTION II: ETHICAL AND LEGAL CONSIDERATIONS
Chapter 7 Introduction
Chapter 8 Confidentiality and Records Retention
Chapter 9 Fraud
Chapter 10 Plagiarism

SECTION III: CLINICAL DOCUMENTATION
Chapter 11 Introduction
Chapter 12 Electronic Health Records
Chapter 13 Client Identification: Referral and Screening
Chapter 14 Evaluation Reports
Chapter 15 Goal Writing
Chapter 16 Intervention Plans
Chapter 17 SOAP and Other Methods of Documenting Ongoing Intervention
Chapter 18 Discontinuation Summaries

SECTION IV: SCHOOL SYSTEM DOCUMENTATION
Chapter 19 Introduction
Chapter 20 Notice and Consent Forms
Chapter 21 Individualized Family Service Plans
Chapter 22 Individualized Education Program

SECTION V: ADMINISTRATIVE DOCUMENTATION
Chapter 23 Introduction
Chapter 24 Incident Reports
Chapter 25 Appeal Letters
Chapter 26 Meeting Minutes
Chapter 27 Grant Writing
Chapter 28 Policies and Procedures
Chapter 29 Job Descriptions
Index

Online Appendices:
Appendix A Grammar and Spelling Review
Appendix B Excerpts from Medicare Standards
Appendix C Model Forms: IEP, Prior Written Notice, and Excerpts from Procedural Safeguards
Appendix D Reproducible Sample Forms
Appendix E Summary of the Occupational Therapy Practice
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