OTA's Guide to Documentation : Writing SOAP Notes (New) (2022, Trade Paperback)

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Item specifics

Condition
Brand New: A new, unread, unused book in perfect condition with no missing or damaged pages. See all condition definitionsopens in a new window or tab
ISBN
9781638220367
Category

About this product

Product Identifiers

Publisher
Slack, Incorporated
ISBN-10
1638220360
ISBN-13
9781638220367
eBay Product ID (ePID)
17057262780

Product Key Features

Number of Pages
352 Pages
Publication Name
Ota's Guide to Documentation : Writing Soap Notes
Language
English
Publication Year
2022
Subject
Allied Health Services / Occupational Therapy, Clinical Medicine
Type
Textbook
Author
Marie Morreale
Subject Area
Medical
Format
Trade Paperback

Dimensions

Item Height
0.7 in
Item Weight
30.5 Oz
Item Length
11 in
Item Width
8.5 in

Additional Product Features

Edition Number
5
Intended Audience
College Audience
LCCN
2022-025161
Dewey Edition
23
TitleLeading
The
Dewey Decimal
615.8/515
Table Of Content
Contents Dedication Acknowledgments About the Author Chapter 1 Documenting the Occupational Therapy Process Chapter 2 The Health Record Chapter 3 Billing and Reimbursement Chapter 4 Using Professional Terminology Chapter 5 Avoiding Common Documentation Mistakes Chapter 6 Writing the "S"--Subjective Chapter 7 Writing the "O"--Objective Chapter 8 Tips for Writing a Better "O" Chapter 9 Writing the "A"--Assessment Chapter 10 Writing the "P"--Plan Chapter 11 Documenting Special Situations Chapter 12 Improving Observation Skills and Refining Your Note Chapter 13 Making Good Notes Even Better Chapter 14 Evaluation and Intervention Planning Chapter 15 Goals and Interventions Chapter 16 Documenting Different Stages of Intervention Chapter 17 Documentation in Different Practice Settings Chapter 18 Examples of Different Kinds of Notes Appendix: Suggestions for Completing the Worksheets Index
Synopsis
The bestselling, newly updated occupational therapy assistant (OTA) textbook, The OTA's Guide to Documentation: Writing SOAP Notes, Fifth Edition explains the critical skill of documentation while offering multiple opportunities for OTA students to practice documentation through learning activities, worksheets, and bonus videos. The Fifth Edition contains step-by-step instruction on occupational therapy documentation and the legal, ethical, and professional documentation standards required for clinical practice and reimbursement of services. Students and professors alike can expect the same easy-to-read format from previous editions to aid OTAs in learning the purpose and standards of documentation throughout all stages of the occupational therapy process and different areas of clinical practice. Essentials of documentation, reimbursement, and best practice are reected in the many examples presented throughout the text. Worksheets and learning activities provide the reader with multiple opportunities to practice observation skills and clinical reasoning, learn documentation methods, create occupation-based goals, and develop a repertoire of professional language. Templates are provided to assist beginning OTA students in formatting occupation-based SOAP notes, and the task of documentation is broken down into smaller units to make learning easier. Other formats and methods of recording client care are also explained, such as the use of electronic health records and narrative notes. This text also presents an overview of the initial evaluation process delineating the roles of the OT and OTA and guidelines for implementing appropriate interventions. New in the Fifth Edition : Incorporation of the Occupational Therapy Practice Framework: Domain and Process, Fourth Edition and other updated American Occupational Therapy Association documents Updated information to meet Medicare Part B and other third-party payer requirements Revised clinical terminology on par with current trends Added examples from emerging practice areas Expanded tables along with new worksheets and learning activities Instructors in educational settings can visit www.efacultylounge.com for an Instructor's Manual and bonus videos to be used in the classroom. Also included with the book is access to a supplemental website for students with to be used in the classroom. Also included with the book is access to a supplemental website worksheets, learning activities, and scenario-based videos to practice the documentation process.
LC Classification Number
RM735.4

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