The OTA's Guide to Writing SOAP Notes - Softcover

Borcherding, Sherry; Kappel, Carol

Softcover

ISBN 10: 1556425511 ISBN 13: 9781556425516

Publisher: SLACK Incorporated, 2002

Synopsis

The OTA's Guide to Writing SOAP Notes is an instruction manual for teaching a specific skill: documentation as required for reimbursement in occupational therapy. With the current changes in healthcare, documentation of patient care is essential to meet standards for reimbursement of services. The purpose of this new text is to teach the Occupational Therapy Assistant to write SOAP notes that will be reimbursable under Medicare Part B and managed care. Documentation is learned in the same way that any other skill is learned - instruction and practice. This exceptional, new text offers both the necessary instruction and multiple opportunities to practice, as skills are built on each other in a logical manner. Templates are provided for beginning students to use in formatting the SOAP note, and the task of documentation is broken down into small units to make learning easier. A detachable summary sheet is included that can be pulled out and carried to clinical sites as a reminder of the necessary contents for a SOAP note. "Answers" are provided for all worksheets so that the text can be used for independent study if desired. This new manual is a must have for all Occupational Therapy Assistant students!

About this title

Review

"This textbook accomplishes what it sets out to do - provide basic concepts of documentation for the OTA student. It...provides a well-rounded overview of documentation in various treatment settings at the assistant level...This textbook allows the instructor to systematically work through the various elements of documentation with the students...I like the easy-going way the textbook is written. Students are not intimidated when they read it - it's definitely on their level and is very encouraging to them as they work through it." --Lindsay Lawrence, Jefferson Community and Technical College, KY

About the Author

Sherry Borcherding, MA, OTR/L currently serves as a faculty member at University of Missouri-Columbia, a Carnegie Research Extensive University, where she has taught since 1992. She teaches disability awareness, complementary therapy, and a three-semester fieldwork sequence designed to develop critical thinking, clinical reasoning, and documentation skills. She has also taught clinical ethics, frames of reference, psychopathology, loss and disability, long-term care, and wellness. Two of her courses are designated as campus writing courses and one is credentialed for computer and information proficiency. Sherry is frequently invited to present on collaborative learning, peer review, and educational technology. Sherry graduated with honors from Texas Woman's University with a BS in occupational therapy and went on to complete her master's in special education with special faculty commendation at George Peabody College in Nashville, TN. Following her staff positions in rehabilitation, home health, and pediatrics, she assumed a number of management roles, including Chief Occupational Therapist at East Texas Treatment Center, Director of Occupational Therapy at Mid-Missouri Mental Health Center, and Director of Rehabilitation Services at Transitional Housing Agency. She has also planned, designed, and directed occupational therapy programs at Capital Regional Medical Center in Jefferson City, MO and at Charter Behavioral Health Center in Columbia, MO. Besides teaching, Sherry consults on quality assurance issues for local behavioral health centers and has a private practice devoted to complementary and alternative therapies. She is certified in CranioSacral Therapy at the techniques level through Upledger Institute and is attuned as a Reiki master. For leisure, Sherry enjoys folk dance, music, and all kinds of three-dimensional art. Her pottery has appeared in several local shows over the past two years. Marie J. Morreale, OTR/L, CHT has been teaching in the Occupational Therapy Assistant Program at Rockland Community College since 1998. She is part of the adjunct faculty and currently teaches Professional Issues and Documentation, OT Skills, Geriatric Principles, and Advanced OT Skills. Besides making significant contributions to curriculum development, Marie has served as interim program coordinator and has also taught several other courses in the OTA program, including OT Therapeutic Activities and Advanced Therapeutic Activities. Since graduating Summa Cum Laude from Quinnipiac College (now Quinnipiac University), Marie has worked in a variety of OT practice settings, including inpatient and outpatient rehabilitation, long-term care, adult day care, home health, cognitive rehabilitation, and hand therapy. She also served for several years on a home health Professional Advisory Committee (consulting on quality assurance issues), and has been a Certified Hand Therapist since 1993. In addition, Marie is the author of several online continuing education courses and was selected for Who's Who Among America's Teachers in 2003-2004. When not teaching, Marie is an active member of her church community where she voluntarily chairs various fundraising events and community activities. In addition, Marie is an avid reader and she also enjoys all kinds of domestic and international travel.

Edition details

• Publisher: SLACK Incorporated
• Publication date: 2002
• Language: English
• ISBN 10: 1556425511
• ISBN 13: 9781556425516
• Binding: Paperback
• Number of pages: 208