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The bestselling, newly updated occupational therapy assistant (OTA) textbook, The OTA’s Guide to Documentation: Writing SOAP Notes, Fifth Edition explains the critical skill of documentation while offering multiple opportunities for OTA students to practice documentation through learning activities, worksheets, and bonus videos. The Fifth Edition contains step-by-step instruction on occupational therapy documentation and the legal, ethical, and professional documentation standards required for clinical practice and reimbursement of services. Students and professors alike can expect the same easy-to-read format from previous editions to aid OTAs in learning the purpose and standards of documentation throughout all stages of the occupational therapy process and different areas of clinical practice. Essentials of documentation, reimbursement, and best practice are reflected in the many examples presented throughout the text. Worksheets and learning activities provide the reader with multiple opportunities to practice observation skills and clinical reasoning, learn documentation methods, create occupation-based goals, and develop a repertoire of professional language. Templates are provided to assist beginning OTA students in formatting occupation-based SOAP notes, and the task of documentation is broken down into smaller units to make learning easier. Other formats and methods of recording client care are also explained, such as the use of electronic health records and narrative notes. This text also presents an overview of the initial evaluation process delineating the roles of the OT and OTA and guidelines for implementing appropriate interventions. New in the Fifth Edition: Incorporation of the Occupational Therapy Practice Framework: Domain and Process, Fourth Edition and other updated American Occupational Therapy Association documents Updated information to meet Medicare Part B and other third-party payer requirements Revised clinical terminology on par with current trends Added examples from emerging practice areas Expanded tables along with new worksheets and learning activities Included with the text are online supplemental materials for faculty use in the classroom, this includes: access to supplemental website worksheets, learning activities, and scenario-based videos to practice the documentation process.
Now updated to its Fourth Edition, The OTA's Guide to Documentation: Writing SOAP Notes contains the step-by-step instruction needed to learn occupational therapy documentation and meet the legal, ethical, and professional documentation standards required for clinical practice and reimbursement of services. Written in an easy-to-read- format, this Fourth Edition by Marie J. Morreale and Sherry Borcherding will aid occupational therapy assistants (OTAs) in learning the purpose and standards of documentation throughout all stages of the occupational therapy process and different areas of clinical practice.
Written specifically for occupational therapy assistants, The OTA's Guide to Writing SOAP Notes, Second Edition is updated to include new features and information. This valuable text contains the step-by-step instruction needed to learn the documentation required for reimbursement in occupational therapy. With the current changes in healthcare, proper documentation of client care is essential to meeting legal and ethical standards for reimbursement of services. Written in an easy-to-read format, this new edition by Sherry Borcherding and Marie J. Morreale will continue to aid occupational therapy assistants in learning to write SOAP notes that will be reimbursable under Medicare Part B and managed care for different areas of clinical practice. New Features in the Second Edition: - Incorporated throughout the text is the Occupational Therapy Practice Framework, along with updated AOTA documents - More examples of pediatrics, hand therapy, and mental health - Updated and additional worksheets - Review of grammar/documentation mistakes - Worksheets for deciphering physician orders, as well as expanded worksheets for medical abbreviations - Updated information on billing codes, HIPAA, management of health information, medical records, and electronic documentation - Expanded information on the OT process for the OTA to fully understand documentation and the OTA's role in all stages of treatment, including referral, evaluation, intervention plan, and discharge - Documentation of physical agent modalities With reorganized and shorter chapters, The OTA's Guide to Writing SOAP Notes, Second Edition is the essential text to providing instruction in writing SOAP notes specifically aimed at the OTA practitioner and student. This exceptional edition offers both the necessary instruction and multiple opportunities to practice, as skills are built on each other in a logical manner. Templates are provided for beginning students to use in formatting SOAP notes, and the task of documentation is broken down into small units to make learning easier. A detachable summary sheet is included that can be pulled out and carried to clinical sites as a reminder of the necessary contents for a SOAP note. Updated information, expanded discussions, and reorganized learning tools make The OTA's Guide to Writing SOAP Notes, Second Edition a must-have for all occupational therapy assistant students! This text is the essential resource needed to master professional documentation skills in today's healthcare environment.
"The bestselling, newly updated occupational therapy assistant (OTA) textbook, The OTA's Guide to Documentation: Writing SOAP Notes, Fifth Edition explains the critical skill of documentation while offering multiple opportunities for OTA students to practice documentation through learning activities, worksheets, and videos. The Fifth Edition contains step-by-step instruction on occupational therapy documentation and the legal, ethical, and professional documentation standards required for clinical practice and reimbursement of services. Students and professors alike can expect the same easy-to-read format from previous editions to aid OTAs in learning the purpose and standards of documentation throughout all stages of the occupational therapy process and different areas of clinical practice. Essentials of documentation, reimbursement, and best practice are reflected in the many examples presented throughout the text. Worksheets and learning activities provide the reader with multiple opportunities to practice observation skills and clinical reasoning, learn documentation methods, create occupation-based goals, and develop a repertoire of professional language. Templates are provided to assist beginning OTA students in formatting occupation-based SOAP notes and the task of documentation is broken down into smaller units to make learning easier. Other formats and methods of recording client care are also explained, such as the use of electronic health records and narrative notes. This text also presents an overview of the initial evaluation process delineating the roles of the OT and OTA and guidelines for implementing appropriate interventions"--
Rev. ed. of: The OTA's guide to writing SOAP notes. 2nd ed. 2007.
Cover -- Front -- Chapter 1 -- Chapter 2 -- Chapter 3 -- Chapter 4 -- Chapter 5 -- Chapter 6 -- Chapter 7 -- Chapter 8 -- Chapter 9 -- Chapter 10 -- Chapter 11 -- Chapter 12 -- Chapter 13 -- Chapter 14 -- Chapter 15 -- Chapter 16 -- Chapter 17 -- Chapter 18 -- Appendix
The go-to text/reference for class, clinical, and practice! A who’s who of experts and educators brings you practical, in-depth coverage of the most common adult conditions and the corresponding evidence-based occupational therapy interventions. Written for OTAs to meet their unique needs, this approach combines theory with the practical, evidence-based functional content that develops the critical-thinking and clinical-reasoning skills that are the foundation for professional, knowledgeable, creative, and competent practice.
The classic foundation work developed by Sally Ryan, COTA, ROH, has been completely revised and updated to reflect current healthcare trends. The reformulation of Ryan's Occupational Therapy Assistant: Principles, Practice Issues and Techniques, Third Edition includes occupation-based case studies that highlight the didactic material presented in each chapter, along with an updated style of information. Four sections make up the new integrated text. The first section looks at important foundation concepts such as history, uniform technology, and the occupational therapy process. The second section introduces readers to people who are experiencing the challenges of disabilities. The chapters provide general information about the disabilities, as well as essential vocabulary and key concepts. The third section provides information on the "doing" of occupational therapy. Foundation treatment techniques are introduced so readers can master basic skills and continue to research current practice. Lastly, the fourth section focuses on the management aspects of an OTA's professional life. How-to information, as well as professional development, is the focus of this section.
The only kinesiology book written by occupational therapy practitioners for the occupational therapy assistant is back with the Third Edition. Kinesiology for the Occupational Therapy Assistant: Essential Components of Function and Movement, Third Edition approaches the study of kinesiology by connecting function to the underlying components that make movement possible. This text uses a top-down approach to showcase the functional level of a client and then guides the reader to ascertain what fundamental kinesiological functions may be causing limitations or decreased engagement in daily activities. Occupational profiles introduce occupational therapy assistant students to real-life patients and describe occupational therapy treatment and patient outcomes. The reader will gain insight into the practice of occupational therapy through solving problems and developing questions needed to assist the client to achieve movement-related goals in tasks, activities, and occupations. What’s included in the Third Edition: • Updates to reflect AOTA’s model curricula for basic sciences and the OTPF-4. • Chapters on kinesiology and therapeutic exercise as well as functional mobility in the home and community. • Emphasis on function and identification of how and why movement occurs. • Select standardized tests, pinch and grip strength, and range of motion norms are noted where appropriate. Included with the text are online supplemental materials for faculty use in the classroom. Kinesiology for the Occupational Therapy Assistant: Essential Components of Function and Movement, Third Edition is a one-of-a-kind text that will enable occupational therapy assistant students to identify the underlying components that make movement possible.
This best-selling text provides an essential introduction to the theoretical foundations to clinical pediatric care within occupational therapy, as well as illustrative guidance to inform its practical application for occupational therapy assistants. This new edition has been thoroughly updated to include new chapters on autism and trauma responsive care, and with a greater overall emphasis on occupational performance and participation. The book aligns with the fourth edition of the OT Practice Framework, as well as the AOTA 2020 Code of Ethics. Written in a succinct and straightforward style throughout, each chapter features brief vignettes drawn on the authors' own clinical experiences, case studies, and reflective activities designed to elicit discussion and exploration into the unique world of pediatric occupational therapy theory and practice. This edition also includes a new feature, ‘In My Words’, charting the experiences of caregivers and children themselves. Including chapters from some of the leading practitioners in the field, and featuring color photos throughout, this will be a key resource for any occupational therapy assistant student or practitioner working with children and their caregivers.