Documentation Manual For Occupational Therapy: Writing SOAP Notes
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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 assignmentsAs 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 educational settings can visit www.efacultylounge.com for additional material to be used for teaching in the classroom.Documentation Manual for Occupational Therapy, Third Edition presents essential documentation skills that all occupational therapy clinicians, faculty, and students will find critical for when assessing, treating, and offering the best evidence available for their clients.  

Paperback: 264 pages

Publisher: Slack Incorporated; 3 edition (August 15, 2011)

Language: English

ISBN-10: 1556429711

ISBN-13: 978-1556429712

Product Dimensions: 8.5 x 0.8 x 11 inches

Shipping Weight: 1.7 pounds

Average Customer Review: 4.6 out of 5 stars  See all reviews (17 customer reviews)

Best Sellers Rank: #56,819 in Books (See Top 100 in Books) #37 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Medical History & Records #43 in Books > Textbooks > Medicine & Health Sciences > Allied Health Services > Occupational Therapy #45 in Books > Medical Books > Administration & Medicine Economics > Medical History & Records

This documentation book is extremely helpful and I highly recommend it! I feel that this is a great book for new documenters. It provides multiple ways to learn, using worksheets and cheat sheets for you to use on daily basis.

This book uses the COAST method for writing goals and also goes over SOAP notes. It also goes over some medical abbreviations and terminology. There are activity worksheets to help give you practice so you can get down to doing what you need to learn. It also comes with two cardboard cheat sheets that help you remember how to write goals, soap notes, and problem statements for your clients. I would recommend this book to anyone starting OT school. I wish I had gone through it before I had even started.

Like this book better than the other I purchased simply because it is more in depth. I am revisiting information I learned but in a way that is clicking with my brain. Since I am on clinicals and documentation is not making sense to me- this is vital to my passing the class.

overpriced and would be nice to have soap notes for different settings such as acute. The answers are in the back of the book and I find that helpful. The book shows examples of poor, average, better, and much better documentations. I have to highlight the better examples so I can quickly read them for review instead of accidently using a poor example and to save time.

An excellent book for a new OT student. Each chapter builds on the one before it in a logical fashion, with worksheets to practice the new skills (and copies of the worksheets are downloadable from the website using the enclosed code. Definitely worth the price I paid.

It's not a required txt book for my program, but I'm glad I bought for my personal use. Highly recommended for people who are not confident for writing goals.

I think this book is helpful and plan to keep it for years to come, and highly recommend it to all COTA professionals.

Required textbook for Occupational Therapy Masters program.

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