Free PDF Documentation Manual for Occupational Therapy: Writing SOAP Notes
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Documentation Manual for Occupational Therapy: Writing SOAP Notes
Free PDF Documentation Manual for Occupational Therapy: Writing SOAP Notes
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Review
“In this new edition, there is an additional focus on all areas of documentation, not just SOAP notes, including chapter 4’s general guidelines for documentation…This book was primarily designed to help with one important aspect of clinical instruction: teaching documentation. Thus, it is mostly for educators and students but can be a valuable addition to a department receiving students on placement or for therapists wanting to improve their documentation skills.”- Paulette Guitard, Canadian Journal of Occupational Therapy
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About the Author
Crystal A. Gateley, MA, OTR/L currently serves as a faculty member at University of Missouri in Columbia where she has taught since 2009. She teaches Foundations of Occupation, Developmental Framework, Pediatric Fieldwork, Clinical Documentation, and Health & Wellness. She has also taught Advanced Strategies and Problem-Based Cases. Crystal also assists with supervising occupational therapy students at the program’s on-site pediatric clinic. Crystal graduated Summa Cum Laude from University of Missouri with a BHS in occupational therapy and went on to complete her master’s in educational leadership and policy analysis (ELPA), also from the University of Missouri. She is currently pursuing a doctoral degree in ELPA from the University of Missouri. Crystal has worked in a variety of OT practice settings, including inpatient and outpatient rehabilitation, long-term care, home health, outpatient pediatrics, public schools, and sheltered workshops. Besides teaching, Crystal enjoys attending her daughters’ extracurricular events, including soccer, basketball, and band. She also loves camping, fishing, and boating with family and friends. Sherry Borcherding, MA, OTR/L recently retired from the faculty of University of Missouri where she taught for 15 years. During the time she was on faculty, she taught disability awareness; complementary therapy; clinical ethics; frames of reference; psychopathology; loss and disability; long-term care; wellness; and a three-semester fieldwork sequence designed to develop critical thinking, clinical reasoning, and documentation skills. Two of her courses were designated as campus writing courses and one was credentialed for computer and information proficiency. As a part of the fieldwork and documentation courses, she filmed simulated occupational therapy interventions for student use in class. Three of those “movies” are available on www.efacultylounge.com with this edition of the book. Sherry graduated with honors from Texas Woman’s University, Denton with a BS in occupational therapy and went on to complete her master’s in special education with special faculty commendation at George Peabody College, Nashville, Tennessee. Following her staff positions in rehabilitation, home health, and pediatrics, she assumed a number of management roles including Chief Occupational Therapist at East Texas Treatment Center, Kilgore; Director of Occupational Therapy at Mid-Missouri Mental Health Center, Columbia; and Director of Rehabilitation Services at Transitional Housing Agency, Columbia, Missouri. She has also planned, designed and directed occupational therapy programs at Capital Regional Medical Center, Jefferson City, Missouri and at Charter Behavioral Health Center, Columbia, Missouri. Sherry is a lifelong learner. Since her retirement, she has further expanded her private practice devoted to complementary and alternative therapies. She is certified in CranioSacral Therapy at the techniques level through Upledger Institute, Palm Beach Gardens, Florida and is attuned as a Reiki master. For leisure, Sherry enjoys music, dance, and all kinds of three-dimensional art. Her pottery has appeared in several local shows over the past few years.
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Product details
Paperback: 264 pages
Publisher: Slack Incorporated; 3 edition (August 15, 2011)
Language: English
ISBN-10: 1556429711
ISBN-13: 978-1556429712
Product Dimensions:
8.5 x 0.8 x 11 inches
Shipping Weight: 1.7 pounds (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
25 customer reviews
Amazon Best Sellers Rank:
#529,663 in Books (See Top 100 in Books)
This is one of the textbooks that I have gotten the most use from my whole time in grad school. Has very clear examples of how to document treatment sessions properly.
overpriced and would be nice to have soap notes for different settings such as acute. The answers are in the back of the book and I find that helpful. The book shows examples of poor, average, better, and much better documentations. I have to highlight the better examples so I can quickly read them for review instead of accidently using a poor example and to save time.
I needed this book for school, and I'm so glad I actually bought it. I used more than any other book I've bought it rented for grad school. It evoluted many aspects of documentation in Occupational therapy. I now write excellent soap notes and pan on referencing it in practice.
It's not a required txt book for my program, but I'm glad I bought for my personal use. Highly recommended for people who are not confident for writing goals.
This documentation book is extremely helpful and I highly recommend it! I feel that this is a great book for new documenters. It provides multiple ways to learn, using worksheets and cheat sheets for you to use on daily basis.
As an Occupational Therapy student, I have found this book to be extremely helpful in writing efficient, informative SOAP notes.
This was very helpful. It goes through examples and had exercises to practice.
Required textbook for Occupational Therapy Masters program.
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