Documentation Manual for Occupational Therapy

As the practice of occupational therapy evolves, so too should the resources that aid clinicians, faculty, and students in learning and achieving the skill of effective documentation. Documentation Manual for Occupational Therapy: Writing SOAP Notes, Third Edition is designed to provide each part of the documentation process, while the worksheets are designed to let you practice each step as you learn it. Crystal A. Gateley and Sherry Borcherding take the Third Edition and broaden the scope of the text to include SOAP notes relevant to pediatric practice, driving assessment, balance, assistive technology, positioning and mobility, and other practice settings. Additionally, the authors have introduced in this updated edition, the COAST method of goal writing that emphasizes client-centered and occupation-based intervention and documentation. Also included in the Third Edition, new online instructor's material that includes videos, scenarios, corresponding documentation, sample grading rubrics, and assignments As in the previous editions, Documentation Manual for Occupational Therapy: Writing SOAP Notes, Third Edition focuses specifically on documentation of client performance in occupational therapy practice. The proven how to strategy of this workbook translates the SOAP note process into a step-by-step sequence. Features of the Third Edition Include: * Worksheets designed to practice individual skills as well as the entire SOAP note process * New chapter on reimbursement, legal, and ethical consideration * New chapter on general guidelines for documentation * Instructor's material that includes videos, scenarios, corresponding documentation, sample grading rubrics, and assignments * Additional on-line resources available with new book purchase * Current information including AOTA's Centennial Vision, the Occupational Therapy Practice Framework: Domain & Process, 2nd Edition, and other AOTA Official Documents Instructors in e

The best-selling, newly updated occupational therapy textbook Documentation Manual for Occupational Therapy, Fifth Edition, is made for students and early-career practitioners learning the critical skill of documentation. The workbook format offers students ample opportunities to practice writing occupation-based problem statements and goals, intervention plans, SOAP notes, and other forms of documentation. The Fifth Edition has also been updated to reflect changes in the American Occupational Therapy Association’s Occupational Therapy Practice Framework: Domain and Process, Fourth Edition. What’s included in Documentation Manual for Occupational Therapy: Numerous worksheets for students to practice individual skills with suggested answers provided in the Appendix Updated information on coding, billing, and reimbursement to reflect recent Medicare changes, particularly in post–acute care settings Examples from a variety of contemporary occupational therapy practice settings Included with the text are online supplemental materials for faculty use in the classroom. Instructors in educational settings can visit the site for an Instructor’s Manual with resources to develop an entire course on professional documentation or to use the textbook across several courses. One of the most critical skills that occupational therapy practitioners must learn is effective documentation to guide client care, communicate with colleagues, and maximize reimbursement. The newly updated and expanded Documentation Manual for Occupational Therapy, Fifth Edition, will help students master their documentation skills before they ever step foot into practice.