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Documenting Occupational Therapy Practice Karen M. Sames

Documenting Occupational Therapy Practice By Karen M. Sames

Documenting Occupational Therapy Practice by Karen M. Sames

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Summary

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 of all forms of documentation and the ethical, legal and language issues related to documentation.

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Documenting Occupational Therapy Practice Summary

Documenting Occupational Therapy Practice by Karen M. Sames

For introductory courses in occupational therapy and administrative documentation.

Taking a global look at documentation in occupational therapy, this text examines both the technical, "how-to" aspect of all forms of clinical, school-based, and administrative documentation, and the ethical, legal, and language issues related to documentation. Soap notes as well as other forms of documentation are discussed throughout.

Table of Contents

INTRODUCTION.

Who, What, Where, When, Why of Documentation.

SECTION 1. USE OF LANGUAGE.

1. Buzzwords, Jargon, and Abbreviations.
2. The Occupational Therapy Practice Framework and Other Documents.
3. Impact of Models and Frames of Reference.
4. Document with C.A.R.E. (general tips for good documentation).

SECTION 2. ETHICAL AND LEGAL CONSIDERATIONS.

5. Confidentiality and Records Retention.
6. Fraud.
7. Plagiarism.

SECTION 3. DOCUMENTATION OF THE OT PROCESS (CLINICAL SETTINGS).

8. Client Identification (referral, screening).
9. Evaluation Reports.
10. Goal Writing.
11. Intervention Plans.
12. SOAP and Other Methods of Documenting Ongoing Intervention.
13. Discontinuation Plans.

SECTION 4. DOCUMENTATION OF THE OT PROCESS (EDUCATIONAL SETTINGS).

14. Notice and Consent Forms.
15. Individual Family Service Plan (IFSP).
16. Individual Education Program (IEP).

SECTION 5. ADMINISTRATIVE DOCUMENTATION.

17. Incident Reports.
18. Appeal Letters.
19. Meeting Minutes.
20. Grant Writing.
21. Policies and Procedures.
Appendix A: Answers to Selected Exercises.
Appendix B: Grammar and Spelling Review.
Appendix C: AOTA Standards of Practice.
Appendix D: AOTA Guidelines to Occupational Therapy.
Appendix E: AOTA Code of Ethics.
Appendix F: AOTA Standards of Practice.
Appendix G: Medicare Standards.
Appendix H: Reproducible Sample Forms.

Additional information

CIN0130452149VG
9780130452146
0130452149
Documenting Occupational Therapy Practice by Karen M. Sames
Karen M. Sames
Used - Very Good
Paperback
Pearson Education (US)
2004-02-27
304
N/A
Book picture is for illustrative purposes only, actual binding, cover or edition may vary.
This is a used book - there is no escaping the fact it has been read by someone else and it will show signs of wear and previous use. Overall we expect it to be in very good condition, but if you are not entirely satisfied please get in touch with us

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