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After having a relapse from anorexia a 16 year old female has been admitted to the in-patient psychiatric unit. As part of a multidisciplinary program, the patient has been participating in several groups for treatment of ADL’s, social skills, and leisure skills. What would be most beneficial for the OT to document in the “A” of the SOAP note to provide information about the patients participation and progress?
A) Patient’s ability to list leisure activities as part of a leisure skills group
B) Patient reports feeling tired and restless
C) Patient appears to use appropriate judgement when role playing various tasks that involve social skills
D) Patient is able to stay in the range of required caloric input

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Posted by (Questions: 108, Answers: 97)
Asked on January 15, 2017 10:25 am
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C) The assessment section summarizes and interprets the observations of the patient’s performance, allowing the therapist to determine conclusions based on the patient’s performance. Any specific observations or evidence should be reported in objective section of the note.

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Posted by (Questions: 108, Answers: 97)
Answered on January 16, 2017 9:30 am
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c

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Posted by (Questions: 3, Answers: 38)
Answered on January 16, 2017 1:46 am
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