Documentation Manual for Writing SOAP Notes in Occupational Therapy

Name: Documentation Manual for Writing SOAP Notes in Occupational Therapy
Price: 3.92 USD
Availability: InStock
ISBN: 9781556427190

ISBN-10: 1556427190

ISBN-13: 9781556427190

Edition: 2nd 2005

Authors: Sherry Borcherding

List price: $49.95

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Description:

One of the most critical skills today’s occupational therapists will need to learn and master is documentation. The most successful workbook on the market to educate students and keep professionals sharp is Documentation Manual for Writing SOAP Notes in Occupational Therapy—now available in an improved and revised second edition . nbsp; This workbook successfully uses a “how to” approach to explain the critical skill of documentation.nbsp; By concentrating on the instruction of one essential skill and not diverging into other related areas, this new edition allows occupational therapists to focus completely on writing SOAP notes. nbsp; Documentation Manual for Writing SOAP Notes…

Book details

List price: $49.95
Edition: 2nd
Copyright year: 2005
Publisher: SLACK, Incorporated
Publication date: 9/2/2005
Binding: Paperback
Pages: 256
Size: 8.50" wide x 11.00" long x 0.75" tall
Weight: 1.386
Language: English



Dedication


Acknowledgments


About the Author



Documenting the Treatment Process in Occupational Therapy



The Medical Record



Using Abbreviations



Additional Practice



Writing Functional Problem Statements



Writing Functional Problem Statements



Writing Functional and Measurable Goals and Objectives



Choosing Goals for Medical Necessity



Evaluating Goal Statements



Writing Realistic, Functional Measurable Goals



Writing the "S"--Subjective



Choosing a Subjective Statement



Writing the "O"--Objective



Being More Concise



Being Specific About Assist Levels



Deemphasizing the Treatment Media



Writing the "A"--Assessment



Justifying Skilled Occupational Therapy



Writing the "P"--Plan



A Treatment Session Devoted to ADL Activities



Treatment Planning



Treatment Plan for Donald G.



Treatment Plan for Ginny H.



Documenting Different Stages of Treatment



Initial Evaluation Report



Contact, Visit, or Treatment Notes



Progress Notes



Reevaluation Report



Discharge Summary #1 (SOAP Format)



Discharge Summary #2 (Facility Form)



Documentation in Different Practice Settings



Making Good Notes Even Better



Problem Statements



Goals



SOAPing Your Note



Subjective



Objective



Assessment



Plan



Assessment and Plan



A Note That Needs Some Therapy



The "Almost" Note



Examples of Different Kinds of Notes


Bibliography



Suggestions for Completing the Worksheets


Note to the Reader


Index