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Documentation Skills and Occupational Therapy

An occupational therapist is a trained and licensed health care professional who can make a complete evaluation of the impact of disease on the activities of the patient at home and in work situations. Hobbies and recreational activities are considered when an assessment is made. The most generally accepted definition of occupational therapy is that it is an activity, physical or mental, that aids in a patient's recovery from disease or injury.

The Occupational therapist takes a history from the patient by conducting a thorough interview. Questions are asked about hygiene, eating, dressing, getting in and out of bed, driving, cleaning, working and the patients sex life. A physical examination is conducted extensively concentrating on range of motion. Observations of deformities are noted because they may hinder the performance of the patient. The therapist assesses the need for splints or supports which might benefit the patient and helps design specific assistive devices.

"It is the job of the occupational therapist to innovate plans to overcome the imposed limitations while helping the patient reduce strain and prevent further damage by teaching techniques that conserve energy" (Sasser 75). There are numerous ways


In order to implement the guidelines for excellent technical communication, we need to remember the three major reasons to be honest as a communicator. First, we must keep in mind that technical communication is not about using words and pictures to mislead or lie to people. It is about helping people understand how to make wise choices. "If you lie or mislead, people can be hurt" (Markell 12). Secondly, a patient can worsen in condition if we fail to honestly report our findings. Thirdly, our organization could get into serious legal trouble if we are dishonest. This can lead to lawsuits and malpractice.

2nd ed. New York, NY: Raven Press, 1993.

to make daily living easier. The most crucial part of therapy is assessing the patient's environment. All the people, cultural conditions and physical objects that are around them, create their environment. The behavior and development of people is a direct result of the interaction between them and their surroundings. A patient's behavior is greatly effected when they are mismatched with their environment. "A persons environment match is present when the persons level of competence matches the demands of the environment" (Cole 75). Full participation by the patient is required to make it practicable. The importance of occupational therapy is to help the patient use what they have to the fullest. Therapists know that in this particular field there will not be a dramatic improvement, but there will be a better quality of life lived by the patient.

Markell, Mike. Technical Communication: Situations and Strategies. 5th ed. Boston, MA:



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Approximate Word count = 1681
Approximate Pages = 7 (250 words per page double spaced)


  

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