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Documenting occupational therapy practice

Author: Karen M Sames
Publisher: Upper Saddle River, N.J. : Pearson/Prentice Hall, ©2005.
Edition/Format:   Print book : EnglishView all editions and formats
Summary:
Examines both the technical, "how-to" aspects of clinical, school-based, and administrative documentation, and the ethical, legal, and language issues related to occupational therapy documentation. Chapters on terminology, frames of reference, jargon, and abbreviations address the language that is necessary for good documentation. SOAP notes as well as other forms of documentation are discussed throughout.
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Material Type: Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: Karen M Sames
ISBN: 0130452149 9780130452146
OCLC Number: 54074287
Description: xvi, 288 pages : illustrations ; 28 cm
Contents: Ch. 1. Buzzwords, Jargon, and Abbreviations --
Ch. 2. The Occupational Therapy Practice Framework and Other Documents --
Ch. 3. Impact of Models and Frames of Reference --
Ch. 4. Document with CARE: General Tips for Good Documentation --
Ch. 5. Confidentiality and Records Retention --
Ch. 6. Fraud --
Ch. 7. Plagiarism --
Ch. 8. Client Identification (Referral and Screening) --
Ch. 9. Evaluation Reports --
Ch. 10. Goal Writing --
Ch. 11. Intervention Plans --
Ch. 12. SOAP and Other Methods of Documenting Ongoing Intervention --
Ch. 13. Discontinuation Summaries --
Ch. 14. Notice and Consent Forms --
Ch. 15. Individualized Family Service Plans --
Ch. 16. Individualized Education Program --
Ch. 17. Incident Reports --
Ch. 18. Appeal Letters --
Ch. 19. Meeting Minutes --
Ch. 20. Grant Writing --
Ch. 21. Policies and Procedures --
App. C. Aota Standards of Practice --
App. D. Aota Guidelines to Occupational Therapy Documentation --
App. E. Aota Code of Ethics.
Responsibility: Karen M. Sames.
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Abstract:

Written for introductory courses in occupational therapy and administrative documentation, this text takes a global look at documentation in occupational therapy, examining both the technical aspect  Read more...

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