One of the most critical skills that occupational therapists must learn is effective documentation.With that idea in mind, Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition presents a systematic approach to a standard form of health care documentation: the SOAP note. The clinical reasoning skills underlying SOAP note documentation can be adapted to fit the written or electronic documentation requirements of nearly any occupational therapy practice setting.This new Fourth Edition has been updated to reflect current information essential to contemporary occupational therapy practice, including the AOTA?s Occupational Therapy Practice Framework: Domain & Process, Third Edition.Documentation Manual for Occupational Therapy, Fourth Edition also includes the COAST method, a specific format for writing occupation-based goals.Crystal Gateley and Sherry Borcherding use a �how-to� strategy by breaking up the documentation process into a step-by-step sequence. Numerous worksheets are provided to practice each individual skill as well as the entire SOAP note process. In addition, examples from a variety of practice settings are included as a reference. Although this text addresses documentation in occupational therapy practice, the concepts can be generalized across other health care disciplines as well.New in the Fourth Edition:The chapter focusing on reimbursement, legal, and ethical considerations has been vastly expanded to provide an overview of sources of reimbursement, regulatory guidelines, and legal and ethical issues.A new chapter focusing on electronic documentation has been added to illustrate how the concepts presented in this text can be used in various electronic documentation software products.Faculty will have access to 12 videos that can be used for instructional purposes and documentation practice.Instructors in educational settings can visit www.efacultylounge.com for additional material to be used for teaching in the classroom.Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition presents essential documentation skills that all occupational therapy clinicians, faculty, and students will find critical for assessing, treating, and offering the best evidence available for their clients.Documentation Manual for Occupational Therapy Edition by Crystal Gateley and Publisher Slack Incorporated. ISBNs: 9781630912338, 1630912336. The print version of this textbook is ISBN: 9781630912314, 163091231X.
Documentation Manual for Occupational Therapy
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Documentation Manual for Occupational Therapy
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The Documentation Manual for Occupational Therapy: Writing SOAP Notes (4th Edition) offers a structured and practical approach to mastering clinical documentation through the SOAP note format. Designed specifically for occupational therapy students and professionals, this edition reflects the latest updates in practice, including alignment with the AOTA�s Occupational Therapy Practice Framework: Domain & Process (3rd Edition). It also features the COAST method for goal writing, step-by-step instructions, worksheets, and real-world examples from diverse practice settings.New chapters address legal, ethical, and reimbursement considerations, as well as electronic documentation systems. The text is supported by 12 instructional videos, making it an essential tool for teaching and self-guided learning. The manual�s skills and concepts are transferable across many healthcare disciplines beyond OT.About the Authors and PublisherAuthors Crystal Gateley and Sherry Borcherding draw from years of clinical and academic experience to deliver a “how-to” resource that is both approachable and rigorous. Published by Slack Incorporated, this guide is widely respected in occupational therapy programs and clinical environments across the country.ISBN and FormatsPrint ISBN (GTIN): 9781630912314other ISBN: 9781630912338Copyright Year: 2016
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