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Taking a global look at documentation in occupational therapy, this book examines both the technical, “how-to” aspect of all forms of clinical, school-based, and administrative documentation, and the ethical, legal, and language issues related to documentation. Soap notes as well as other forms of documentation are discussed throughout.
Sections in this book include: Use of Language, Ethical and Legal Considerations ,Clinical Documentation, School System Documentation, and Administrative
There are also extensive appendices on AOTA Standards of Practice, AOTA Guidelines to Occupational Therapy Documentation, and AOTA Code of Ethics. This book can be used by students to learn about documentation and by clinicians to improve the quality of documentation in the field.
“The depth and breadth…clearly outshines any other work on the subject I have seen.” - William R. Croninger, MA, OTR/L University of New England
“The author has a style that is entertaining, yet factual. She manages to make a potentially deadly topic interesting, funny and informative.” - Cathy Nielson, MPH, OTR/L, The University of North Carolina at Chapel Hill
“This text provides a complete knowledge base of information related to documentation that will serve readers well throughout their professional careers.” - Kathy Clark Tuminski, MA, OTR/L University of Kentucky