Documentation of paediatric assessments using the occupational therapy guidelines for client-centred practice.
Although documentation is required in occupational therapy, there is little uniformity in content or format between therapists or facilities. The purpose of this article is to present a format that reflects the Canadian Guidelines for the Client-Centred approach to assessment and to share the experience of implementing this format at the Arbutus Society for Children in Victoria, British Columbia. It is hoped that client-centred documentation will facilitate role clarification, service promotion, and quality assurance. As the format reflects the conceptual framework described in the Occupational Therapy Guidelines for Client-Centred Practice (Canadian Association of Occupational Therapists, 1991b), it should be appropriate for use in other areas of practice.
Watson
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D001955:British Columbia; D002170:Canada; D002675:Child, Preschool; D004282:Documentation / Q000592:standards*; D005260:Female; D006301:Health Services Needs and Demand / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D008962:Models, Theoretical; D009788:Occupational Therapy / Q000458:organization & administration / Q000592:standards*; D010347:Patient Care Planning / Q000592:standards*; D010372:Pediatrics / Q000592:standards