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Documenting Occupational Therapy Practice Karen Sames, MBA, OTRL

Documenting Occupational Therapy Practice By Karen Sames, MBA, OTRL

Documenting Occupational Therapy Practice by Karen Sames, MBA, OTRL


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Documenting Occupational Therapy Practice Summary

Documenting Occupational Therapy Practice by Karen Sames, MBA, OTRL

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. Teaching and Learning Experience This text offers a comprehensive guide to creating effective documentation for occupational therapy. It provides: Comprehensive coverage of all areas of practice: Chapters examine the underlying concepts of good documentation in clinical, school, and administrative settings. Practical techniques and strategies that prepare students for the workplace: Chapters present clear, effective strategies for drafting documentation and communication that can be directly applied in professional settings. Exploration of ethical and legal issues: Discussions help students understand how documentation affects others and provide problem-solving strategies for addressing legal and ethical issues. Coverage of electronic documentation: Screenshots and discussion of electronic health record (EHR) systems familiarize students with current documentation technologies. Effective learning tools: Review exercises and numerous reference tools help students truly master text material.

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

Additional information

CIN0133110494VG
9780133110494
0133110494
Documenting Occupational Therapy Practice by Karen Sames, MBA, OTRL
Used - Very Good
Paperback
Pearson Education (US)
20140812
320
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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