This course is an ideal resource for any health care professional needing to learn or improve their documentation skills—with simple, straightforward explanations of the hows and whys of documentation. It also keeps pace with the changes in therapy practice today, emphasizing the Patient/Client Management model. Section by section, exercise by exercise, this course will help you to to write clear, concise, and effective documentation using a variety of tools, including SOAP notes.

Instructors:

Joel Desotelle, MS OTR/L

Joel is an occupational therapist who specializes in neurological disorders in children and adults.  He received his Bachelors of Science (B.S) degree in occupational therapy from Keuka College (Keuka Park, NY) in 1995 and his post-graduate Masters of Science (M.S.) degree from Misericordia University (Dallas, PA) in 2010.  He holds a post-graduate certificate in pediatrics from Misericordia University (2006) and has worked in a variety of settings from out-patient pediatrics to in-patient adults.  Joel is an experienced author and instructor who has presented on a wide range of topics including stroke rehab, neuromuscular disorders, autism, sensory dysfunction, dementia, falls, and outcomes-based therapy.

Sherry Rickman, DPT

Sherry received her bachelor's of science degree in Health and Human Performance from the University of Tennessee.  She then completed doctorate at at Belmont University in Nasheville, TN.  Since that time she has worked in a variety of settings including long-term care, acute care, and outpatient orthopedics.  

• Home Study Course w/textbook Textbook and home study materials mailed to your door.

• Mailed Certificate (INCLUDED IN PRICE) - Recieve a printed, signed certificate in the mail.

Course Objectives:

Upon Completion, each learner will be able to:

1. Successfully write a patient/client management note;

2. Successfully write a SOAP note;

3. Successfully document clear and consise evaluation and discharge summaries;

4. Successfully document clear and concise goals and objectives;

5. Successfully identify the legal aspects of documentation;

Text Features

• Chapters on Writing Evaluation • Overview of the Medical Record • Legal Issues • Reimbursement • and The Future: Documentation Using the ICF System.
• Expanded electronic documentation section.
• Additional information on how Patient/Client Management and SOAP notes work in accordance with the APTA’s Guide to Physical Therapy Practice and the WHO’s ICF model.
• Features exercises and worksheets at the end of each section and chapter, with answers provided in Appendix A.
• Provides samples of both correct and incorrect note writing. Teaches readers how to write a defensible note.
• Offers a quick review of medical terminology and abbreviations.