Documenting Occupational Therapy Practice

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9780131999480: Documenting Occupational Therapy Practice

Taking a global look at documentation in occupational therapy, this book 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. Sections in this book include: Use of Language, Ethical and Legal Considerations ,Clinical Documentation,  School System Documentation, and Administrative

Documentation.  There are also extensive appendices on AOTA Standards of Practice, AOTA Guidelines to Occupational Therapy Documentation,  and AOTA Code of Ethics.  This book can be used by students to learn about documentation and by clinicians to improve the quality of documentation in the field.

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From the Back Cover:

A groundbreaking book that every occupational therapist needs!  

 

Here is what people are saying:

 

“The depth and breadth...clearly outshines any other work on the subject I have seen.”–William R. Croninger, MA, OTR/L University of New England 

 

“The author has a style that is entertaining, yet factual.  She manages to make a potentially deadly topic interesting, funny and informative.”–Cathy Nielson, MPH, OTR/L, The University of North Carolina at Chapel Hill

 

“This text provides a complete knowledge base of information related to documentation that will serve readers well throughout their professional careers.” ?Kathy Clark Tuminski, MA, OTR/L  University of Kentucky

 

 

Taking a global look at documentation, Documenting Occupational Therapy Practice 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.

 

This is an ideal book for use both in the occupational therapy curriculum as well as in the field!

 

Features include:

  • Presents the new Framework for Occupational Therapy Practice (AOTA).
  • Different forms of documentation--in a variety of clinical and school settings--are provided throughout.
  • Exercises in every chapter reinforce learning.  Suggested answers to these activities are provided within Appendix A.
  • Sample reproducible forms are included in Appendix G can be used for hands-on practice.
  • Appendix B:  ‘Grammar and Spelling Review’ points out the most common grammar and spelling mistakes to help the user provide accurate and effective documentation.

 

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