Allied Health

For introductory courses in occupational therapy and administrative documentation.

Taking a global look at documentation in occupational therapy, this text 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.

• Includes step-by-step instructions to completing clinical, school-based, and administrative documentation.

  • Provides students with a working knowledge of documentation processes that they can apply in the real world.

• Presents ethical and legal considerations for documentation.

  • Builds an awareness in students of how their documentation will be perceived, while preparing them to avoid ethical and legal pitfalls.

• Contains chapters on terminology, frames of reference, jargon and abbreviations for language that is essential to good documentation.

  • Equips students with the facets of writing necessary for effective documentation.

• Offers exercises to reinforce learning in each chapter.

  • Enables students to test their knowledge of the material, with an answer section in the book so they can check their own work.

• Furnishes examples of different forms of documentation in various clinical and school settings.

  • Familiarizes students with various formats of documentation that they may encounter in clinical and school environments.

• Boasts a superlative pedagogical package, including chapter summaries, goal-writing exercises, and evaluation reporting assignments.

  • Provides constructive activities for students so they can practice and apply what they are learning.

INTRODUCTION.

SECTION 1. USE OF LANGUAGE.

SECTION 2. ETHICAL AND LEGAL CONSIDERATIONS.

SECTION 3. DOCUMENTATION OF THE OT PROCESS (CLINICAL SETTINGS).

SECTION 4. DOCUMENTATION OF THE OT PROCESS (EDUCATIONAL SETTINGS).

SECTION 5. ADMINISTRATIVE DOCUMENTATION.

Occupational Therapy (Occupational Therapy)
Documentation (Physical Therapy)

A groundbreaking book that every occupational therapist needs!  

Here is what people are saying:

“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

Taking a global look at documentation, Documenting Occupational Therapy Practice examines both the technical, “how-to” aspects of clinical, school-based, and administrative documentation, and the ethical, legal and language issues related to occupational therapy documentation.  Chapters on terminology, frames of reference, jargon and abbreviations address the language that is necessary for good documentation.  SOAP notes as well as other forms of documentation are discussed throughout.

This is an ideal book for use both in the occupational therapy curriculum as well as in the field!

Features include:

• Presents the new Framework for Occupational Therapy Practice (AOTA).
• Different forms of documentation--in a variety of clinical and school settings--are provided throughout.
• Exercises in every chapter reinforce learning.  Suggested answers to these activities are provided within Appendix A.
• Sample reproducible forms are included in Appendix G can be used for hands-on practice.
• Appendix B:  ‘Grammar and Spelling Review’ points out the most common grammar and spelling mistakes to help the user provide accurate and effective documentation.

View a Sample Chapter PDF:

Pearson Higher Education offers special pricing when you choose to package your text with other student resources. If you're interested in creating a cost-saving package for your students, contact your Pearson Higher Education representative for pricing and ordering information.

Pearson Higher Education offers special pricing when you choose to package your text with other student resources. If you're interested in creating a cost-saving package for your students contact your Pearson Higher Education representative.