The Ultimate Guide to Occupational Therapy Documentation: OTA’s Handbook to Writing SOAP Notes

As an occupational therapy assistant (OTA), mastering the skill of documentation is crucial for effective clinical practice and reimbursement of services. The newly updated, bestselling textbook, The OTAs Guide to Documentation: Writing SOAP Notes, Fifth Edition, is here to help you achieve that. Written by Marie J. Morreale, this comprehensive guide provides step-by-step instruction on occupational therapy documentation, emphasizing legal, ethical, and professional standards.

A Comprehensive Learning Experience

This Fifth Edition offers a range of engaging learning activities, worksheets, and bonus videos to help OTA students develop their documentation skills. With its easy-to-read format, the book is designed to aid students and professors alike in understanding the purpose and standards of documentation throughout all stages of the occupational therapy process and different areas of clinical practice.

Mastering the Art of Documentation

The text provides extensive guidance on essentials of documentation, reimbursement, and best practice, backed by numerous examples and templates to assist in formatting occupation-based SOAP notes. You’ll learn how to:

• Develop observation skills and clinical reasoning
• Create occupation-based goals
• Build a repertoire of professional language
• Use electronic health records and narrative notes effectively

New Features in the Fifth Edition

This updated edition incorporates the latest developments in occupational therapy, including:

• The Occupational Therapy Practice Framework: Domain and Process, Fourth Edition
• Updated information to meet Medicare Part B and other third-party payer requirements
• Revised clinical terminology in line with current trends
• Added examples from emerging practice areas
• Expanded tables, new worksheets, and learning activities

Supplemental Resources

Access a wealth of additional resources to enhance your learning experience, including:

• Instructor’s manual and bonus videos for educators
• Supplemental website with worksheets, learning activities, and scenario-based videos to practice the documentation process

Take your occupational therapy documentation skills to the next level with The OTAs Guide to Documentation: Writing SOAP Notes, Fifth Edition. This indispensable handbook is the perfect companion for OTA students, educators, and professionals seeking to excel in clinical practice and reimbursement.