Fundamentals of Occupational Therapy (Documentation) FlashCards sobre Documentation, criado por Robin Decker em 06-10-2018.
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Criado por Robin Decker
aproximadamente 6 anos atrás
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Fechar
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Criado por Robin Decker
aproximadamente 6 anos atrás
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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
