عنوان

Documenting occupational therapy practice /

0133110494

9780133110494

dltt

Documenting occupational therapy practice /

[Book]

Karen M. Sames

Third edition

xx, 290 pages :

illustrations ;

28 cm

Includes bibliographical references and index

SECT. 1. USE OF LANGUAGE. Overview of the use of language in documentation -- Professional communication -- Buzzwords, jargon, and abbreviations -- The occupational therapy practice framework and important other important documents -- Impact of models and frames of reference -- Document with CARE: general tips for good documentation -- SECT. 2. ETHICAL AND LEGAL CONSIDERATIONS. Overview of ethical and legal considerations -- Confidentiality and records retention -- Fraud and abuse -- Plagiarism -- SECT 3. CLINICAL DOCUMENTATION. Overview of clinical documentation -- Electronic health record -- Client identification: referral and screening -- Evaluation reports -- Goal writing -- Intervention plans -- SOAP and other methods of documenting ongoing intervention -- Discharge summaries -- SECT. 4. SCHOOL SYSTEM DOCUMENTATION. Overview of school system documentation -- Procedural safeguards: notice and consent forms -- Individualized family service plans -- Individualized education program -- SECT. 5. ADMINISTRATIVE DOCUMENTATION. Overview of administration documentation -- Incident reports -- Appeal letters -- Meeting minutes -- Grant writing -- Policies and procedures -- Job descriptions

0

Medical protocols

Medical records

Occupational therapy-- Practice

Medical Records-- standards

Occupational Therapy-- organization & administration

Sames, Karen M.

20160427150145.0

rda

[Book]

Y