Fundamentals of Occupational Therapy (Documentation) Flashcards on Documentation, created by Robin Decker on 06/10/2018.
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Created by Robin Decker
over 5 years ago
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Close
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Created by Robin Decker
over 5 years ago
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Documenation
Reasons to Document
Medical Record & Notes
Medical Record & Notes
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"S" = Subjective
"S" = Subjective
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"O" = Objective
What went on during treatment.
Chronologically if necessary.
"O" = Objective
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"O" = Objective
COMMON MISTAKES
"A" = Assessment
"A" = Assessment
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"P" = Plan
Functional Maintenance Program
Informed Consent
Medical Necessity
Negative Prognostic Indicators
Positive Prognostic Indicators
Restorative Programs
Screening
Standardized Assessments
