Fundamentals of Occupational Therapy (Documentation) Karteikarten am Documentation, erstellt von Robin Decker am 06/10/2018.
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Erstellt von Robin Decker
vor etwa 6 Jahre
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Schließen
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Erstellt von Robin Decker
vor etwa 6 Jahre
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Documenation
Reasons to Document
Medical Record & Notes
Medical Record & Notes
continued...
"S" = Subjective
"S" = Subjective
continued...
"O" = Objective
What went on during treatment.
Chronologically if necessary.
"O" = Objective
continued...
"O" = Objective
COMMON MISTAKES
"A" = Assessment
"A" = Assessment
continued...
"P" = Plan
Functional Maintenance Program
Informed Consent
Medical Necessity
Negative Prognostic Indicators
Positive Prognostic Indicators
Restorative Programs
Screening
Standardized Assessments
