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Book Categories |
Dedication | v | |
Acknowledgments | ix | |
About the Author | xi | |
Chapter 1. | Documenting the Treatment Process in Occupational Therapy | 1 |
Chapter 2. | The Medical Record | 7 |
Worksheet 2-1. | Using Abbreviations | 15 |
Worksheet 2-2. | Additional Practice | 17 |
Chapter 3. | Writing Functional Problem Statements | 19 |
Worksheet 3-1. | Writing Functional Problem Statements | 23 |
Chapter 4. | Writing Functional and Measurable Goals and Objectives | 25 |
Worksheet 4-1. | Choosing Goals for Medical Necessity | 29 |
Worksheet 4-2. | Evaluating Goal Statements | 33 |
Worksheet 4-3. | Writing Realistic, Functional Measurable Goals | 35 |
Chapter 5. | Writing the "S"--Subjective | 39 |
Worksheet 5-1. | Choosing a Subjective Statement | 43 |
Chapter 6. | Writing the "O"--Objective | 45 |
Worksheet 6-1. | Being More Concise | 53 |
Worksheet 6-2. | Being Specific About Assist Levels | 55 |
Worksheet 6-3. | Deemphasizing the Treatment Media | 59 |
Chapter 7. | Writing the "A"--Assessment | 61 |
Worksheet 7-1. | Justifying Skilled Occupational Therapy | 65 |
Chapter 8. | Writing the "P"--Plan | 71 |
Worksheet 8-1. | A Treatment Session Devoted to ADL Activities | 81 |
Chapter 9. | Treatment Planning | 83 |
Worksheet 9-1. | Treatment Plan for Donald G. | 89 |
Worksheet 9-2. | Treatment Plan for Ginny H. | 91 |
Chapter 10. | Documenting Different Stages of Treatment | 99 |
Worksheet 10-1. | Initial Evaluation Report | 107 |
Worksheet 10-2. | Contact, Visit, or Treatment Notes | 111 |
Worksheet 10-3. | Progress Notes | 115 |
Worksheet 10-4. | Reevaluation Report | 119 |
Worksheet 10-5. | Discharge Summary #1 (SOAP Format) | 123 |
Worksheet 10-6. | Discharge Summary #2 (Facility Form) | 127 |
Chapter 11. | Documentation in Different Practice Settings | 129 |
Chapter 12. | Making Good Notes Even Better | 149 |
Worksheet 12-1. | Problem Statements | 151 |
Worksheet 12-2. | Goals | 153 |
Worksheet 12-3. | SOAPing Your Note | 155 |
Worksheet 12-4. | Subjective | 157 |
Worksheet 12-5. | Objective | 161 |
Worksheet 12-6. | Assessment | 163 |
Worksheet 12-7. | Plan | 165 |
Worksheet 12-8. | Assessment and Plan | 167 |
Worksheet 12-9. | A Note That Needs Some Therapy | 169 |
Worksheet 12-10. | The "Almost" Note | 171 |
Chapter 13. | Examples of Different Kinds of Notes | 179 |
Bibliography | 199 | |
Appendix | Suggestions for Completing the Worksheets | 201 |
Note to the Reader | 229 | |
Index | 231 |
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Add Documentation Manual for Writing SOAP Notes in Occupational Therapy, This exciting new manual presents a systematic approach to writing one form of documentation, the SOAP note. The purpose of this text is to teach readers to write SOAP notes that will be reimbursable under Medicare, Part B, and managed care. With the curr, Documentation Manual for Writing SOAP Notes in Occupational Therapy to the inventory that you are selling on WonderClubX
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Add Documentation Manual for Writing SOAP Notes in Occupational Therapy, This exciting new manual presents a systematic approach to writing one form of documentation, the SOAP note. The purpose of this text is to teach readers to write SOAP notes that will be reimbursable under Medicare, Part B, and managed care. With the curr, Documentation Manual for Writing SOAP Notes in Occupational Therapy to your collection on WonderClub |