Documenting occupational therapy practice /
Karen M. Sames.
- 2nd ed.
- Upper Saddle River, NJ : Pearson Education, c2010.
- xvi, 344 p. : ill. ; 28 cm.
Include index
Includes bibliographical references and index.
Professional communication -- Buzzwords, jargon, and abbreviations -- The occupational therapy practice framework and other documents -- Impact of models and frames of reference -- Document with care: general tips for good documentation -- Confidentiality and records retention -- Fraud -- Plagiarism -- Client identification: referral and screening -- Evaluation reports -- Goal writing -- Intervention plans -- SOAP and other methods of documenting ongoing intervention -- Discontinuation summaries -- Notice and consent forms -- Individualized family service plans -- Individualized education program -- Incident reports -- Appeal letters -- Meeting minutes -- Grant writing -- Policies and procedures -- Job descriptions.
0131999486 9780131999480
2009023194
101507751 DNLM
Occupational therapy--Practice. Medical records. Medical protocols. Occupational Therapy--organization & administration. Medical Records--standards.