Documentation Manual for Occupational Therapy: Writing SOAP Notes

Documentation Manual for Occupational Therapy: Writing SOAP Notes

<DIV>One of the most critical skills that occupational therapists must learn is effective documentation.<BR />  <BR /> With that idea in mind, <B><I>Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition</I></B> presents a systematic approach to a standard form of health care documentation: the SOAP note. The clinical reasoning skills underlying SOAP note documentation can be adapted to fit the written or electronic documentation requirements of nearly any occupational therapy practice setting.<BR />  <BR /> This new<B><I> Fourth Edition</I></B> has been updated to reflect current information essential to contemporary occupational therapy practice, including the AOTA’s <I>Occupational Therapy Practice Framework: Domain & Process, Third Edition</I>.<BR />  <BR /><B><I>Documentation Manual for Occupational Therapy, Fourth Edition</I></B> also includes the COAST method, a specific format for writing occupation-based goals.<BR />  <BR /> Crystal Gateley and Sherry Borcherding use a “how-to” strategy by breaking up the documentation process into a step-by-step sequence. Numerous worksheets are provided to practice each individual skill as well as the entire SOAP note process. In addition, examples from a variety of practice settings are included as a reference. Although this text addresses documentation in occupational therapy practice, the concepts can be generalized across other health care disciplines as well.<BR />  <BR /><B>New in the <I>Fourth Edition:</I></B><ul><li>The chapter focusing on reimbursement, legal, and ethical considerations has been vastly expanded to provide an overview of sources of reimbursement, regulatory guidelines, and legal and ethical issues.</li><li>A new chapter focusing on electronic documentation has been added to illustrate how the concepts presented in this text can be used in various electronic documentation software products.</li><li>Faculty will have access to 12 videos that can be used for instructional purposes and documentation practice.</li><li>This edition includes an expanded Instructor’s Manual with sample quiz questions for several of the chapters, templates and grading rubrics for documentation assignments, and other instructional resources.</li></ul> <BR /> Instructors in educational settings can visit www.efacultylounge.com for additional material to be used for teaching in the classroom.<BR />  <BR /><B><I>Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition</I></B> presents essential documentation skills that all occupational therapy clinicians, faculty, and students will find critical for assessing, treating, and offering the best evidence available for their clients.<BR />  </DIV>