The Ota's Guide to Documentation: Writing Soap Notes

ISBN-13: 9781638220367 / Angielski / Miękka / 2022 / 325 str.

Marie Morreale

Spis treści

• 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