Terminology Flashcards
What is evaluation?
Foundation upon which all components of the client program are identified.
What is clinical reasoning?
Process used by OT practitioners to plan, direct, perform, and reflect on client care
What is documentation?
Necessary part of the OT process and promotes professionalism and proof of value of intervention.
What is skilled interventions?
Involve the use of therapeutic self, occupation based activities and client care giver education
What is assessments?
Are standardized and non-standardized ways of measuring and establishing baselines.
What is intervention plan?
Collaborative effort designed to establish goals and functional outcomes.
What is confidentiality?
Is the protection of information that can appear in all forms of communication .
What is medical record?
Contains personal data and information relevant to the treatment of a pt, client, or person receiving medical tx.
What is skilled services?
Require the services of professionals trained in the field of OT
What is occupational profile?
Contains information gathered during an interview process
What is OTPF-2?
Occupational therapy practice framework-2
What is legal document?
Document that follows guidelines that will allow it to stand up in a legal investigation.
What is HIPPA?
Health insurance portability and accountability act 1996
Is a federal law enacted to protect the consumer from breaches of confidentiality.
What are Medicare guidelines?
Regulations and requirements set up by major payer source for the geriatric population.
What is reimbursement?
Is payment for OT services according to specific regulations and requirements.
What is discharge report?
Is written at the conclusion of the therapy program.
What are SOAP notes?
Subjective
Objective
Assessment
Plan
What is ethical practice?
Includes 7 principles defined by AOTA to direct the OT practitioner in expected behaviors and expectations.
What is progress report?
Is document that expresses progress toward goal achievement .
What is STG?
Written for a specific time frame and are specific to the accomplishment of the LTG
What is LTG?
Is the overall functional outcome of the OT process.
