Documenting the occupational therapy process
The health record
Reimbursement, legal, and ethical considerations
General guidelines for documentation
Writing functional problem statements
Writing measurable occupation-based goals and objectives
Writing the "S" subjective
Writing the "O" objective
Writing the "A" assessment
Writing the "P" plan
Making good notes even better
Intervention planning
Documenting different stages of service delivery
Documentation in different practice settings
Examples of different kinds of notes.