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Documentation manual for occupational therapy : writing SOAP notes

Author: Crystal A Gateley; Sherry Borcherding
Publisher: Thorofare, NJ : SLACK, ©2012.
Edition/Format:   Print book : English : 3rd edView all editions and formats
Database: WorldCat
Summary:
This book is designed to provide each part of the documentation process, while the worksheets are designed to let you practice each step as you learn it. The Third Edition and broaden the scope of the text to include SOAP notes relevant to pediatric practice, driving assessment, balance, assistive technology, positioning and mobility, and other practice settings. Additionally, the authors have introduced in this  Read more...
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Title: Documentation manual for occupational therapy : writing SOAP notes /
Database Name: WorldCat
All Authors / Contributors: Crystal A Gateley; Sherry Borcherding
ISBN: 9781556429712; 1556429711
Notes: Revised edition of: Documentation manual for writing SOAP notes in occupational therapy / Sherry Borcherding. 2nd ed. c2005.
Bibliography: Includes bibliographical references and index.
Content: Documenting the occupational therapy process -- The health record -- Reimbursement, legal, and ethical considerations -- General guidelines for documentation -- Writing functional problem statements -- Writing measurable occupation-based goals and objectives -- Writing the "S" subjective -- Writing the "O" objective -- Writing the "A" assessment -- Writing the "P" plan -- Making good notes even better -- Intervention planning -- Documenting different stages of service delivery -- Documentation in different practice settings -- Examples of different kinds of notes.
Description: 243 pages : illustrations ; 28 cm
Contents: Documenting the occupational therapy process -- The health record -- Reimbursement, legal, and ethical considerations -- General guidelines for documentation -- Writing functional problem statements -- Writing measurable occupation-based goals and objectives -- Writing the "S" subjective -- Writing the "O" objective -- Writing the "A" assessment -- Writing the "P" plan -- Making good notes even better -- Intervention planning -- Documenting different stages of service delivery -- Documentation in different practice settings -- Examples of different kinds of notes.
Responsibility: Crystal A. Gateley, Sherry Borcherding.
Genre/Form: Handbooks and manuals.
Handbook.
Handbooks, manuals, etc.
Year: ©2012.
Publisher: Thorofare, NJ : SLACK,
Standard Numbers: LCCN: 2011012981; National Library: 101557180; National Library: 101557180; National Library: 015950016
Class Descriptors: LC Class No.: RM735.4; Dewey No.: 615.8/515
OCLC No.: 710813010

Abstract:

This book is designed to provide each part of the documentation process, while the worksheets are designed to let you practice each step as you learn it. The Third Edition and broaden the scope of the text to include SOAP notes relevant to pediatric practice, driving assessment, balance, assistive technology, positioning and mobility, and other practice settings. Additionally, the authors have introduced in this updated edition, the COAST method of goal writing that emphasizes client-centered and occupation-based intervention and documentation. Also included in the Third Edition, new online instructor's material that includes videos, scenarios, corresponding documentation, sample grading rubrics, and assignments. As in the previous editions, this book focuses specifically on documentation of client performance in occupational therapy practice. The proven "how to" strategy of this workbook translates the SOAP note process into a step-by-step sequence.
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In this new edition, there is an additional focus on all areas of documentation, not just SOAP notes, including chapter 4 s general guidelines for documentation This book was primarily designed to Read more...

 
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