An edition of The OTA's guide to documentation (2013)

The OTA's guide to documentation

writing SOAP notes

3rd ed.
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Last edited by ImportBot
June 19, 2024 | History
An edition of The OTA's guide to documentation (2013)

The OTA's guide to documentation

writing SOAP notes

3rd ed.
  • 1 Want to read

"This text teaches the SOAP notes format reimbursable by Medicare Part B and other third-party payers. Other topics include a review of spelling and grammar, an overview of the initial evaluation process delineating the roles of the occupational therapist and the occupational therapy assistant, tips for clinical reasoning, and guidelines for selecting appropriate interventions. Templates allow beginning students to practice formatting SOAP notes, and a detachable summary sheet can be pulled out and carried to clinical sites as a reminder of the necessary contents for a SOAP note. Multiple worksheets are provided for practice in developing observation skills, clinical reasoning, documentation skills, and a repertoire of professional language. All worksheets are also available online with answers included to enable independent study."--

Publish Date
Publisher
SLACK
Language
English
Pages
225

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Previews available in: English

Book Details


Table of Contents

Documenting the occupational therapy process
The health record
Billing and reimbursement
Using medical terminology
Avoiding common documentation mistakes
Writing the "S" subjective
Writing the "O" objective
Tips for writing a better "O"
Writing the "A" assessment
Writing the "P" plan
Documenting special situations
Improving observation skills and refining your note
Making good notes even better
Evaluation and intervention planning
Goals and interventions
Documenting different stages of treatment
Documentation in different practice settings
Examples of different kinds of notes.

Edition Notes

Rev. ed. of: The OTA's guide to writing SOAP notes. 2nd ed. 2007.

Includes bibliographical references and index.

Published in
Thorofare, NJ
Other Titles
Occupational therapy assistant's guide to documentation, OTA's guide to writing SOAP notes.

Classifications

Dewey Decimal Class
615.8/515
Library of Congress
RM735.4 .M67 2013, RM735.4

The Physical Object

Pagination
225 p.
Number of pages
225

Edition Identifiers

Open Library
OL31131443M
Internet Archive
otasguidetodocum0000morr
ISBN 10
1617110825
ISBN 13
9781617110825
LCCN
2013008237

Work Identifiers

Work ID
OL23286388W

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