Documenting Occupational Therapy Practice by Karen M Sames

Documenting Occupational Therapy Practice by Karen M Sames

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

Documentation.  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.