Documenting occupational therapy practice
By: Karen M. Sames.
Edition: 2nd ed.
Publisher: Pearson Education
Published: 2010
Place of publication: Upper Saddle River, NJ
Language: eng
Number of pages: 344
ISBN-13: 9780131999480
Subjects: Occupational therapy -- Practice; Medical records; Medical protocols; Occupational Therapy -- organization & administration; Medical Records -- standards
Notes: Includes bibliographical references and index.
Table of contents: title: Professional communication; title: Buzzwords, jargon, and abbreviations; title: The occupational therapy practice framework and other documents; title: Impact of models and frames of reference; title: Document with care: general tips for good documentation; title: Confidentiality and records retention; title: Fraud; title: Plagiarism; title: Client identification: referral and screening; title: Evaluation reports; title: Goal writing; title: Intervention plans; title: SOAP and other methods of documenting ongoing intervention; title: Discontinuation summaries; title: Notice and consent forms; title: Individualized family service plans; title: Individualized education program; title: Incident reports; title: Appeal letters; title: Meeting minutes; title: Grant writing; title: Policies and procedures; title: Job descriptions.