the chapter on Skilled Therapy and Clinical Reasoning we delve into the thought processes and actions that go into providing effective occupational therapy Let s break it down with some examples skilled therap is all about customization It s not a one size fits all approach instead it s tailoring interventions to meet the specific needs of each client For example if a therapist is working with a client who has trouble with fine motor skills the therapist might incorporate activities that require the use of small muscles like sewing or playing a musical instrument clinical reasoning is the process of making decisions and solving problems during the therapy session It involves integrating knowledge critical thinking and past experiences to guide therapy Active The therapist encourages the child to actively participate in the therapy rather than just observing Imagine a therapist working with a child who has difficulty with handwriting The therapist might use clinical reasoning to analyze the underlying causes such as weak hand muscles or poor posture Based on this analysis the therapist would then design an intervention to target those specific areas of need Client centered The therapist involves the child in the therapy process asking for their input and making sure they re comfortable with the activities Role oriented The therapist helps the child see the relevance of the therapy to their everyday life such as improving their handwriting for schoolwork Evidence based The therapist uses interventions that have been proven to be effective through research In summary skilled therapy and clinical reasoning are crucial components of successful occupational therapy By tailoring interventions to meet the unique needs of each client and by using a client centered active role oriented and evidence based approach therapists can provide effective and meaningful therapy sessions SCOPE OF OCCUPATIONAL THERAPY Introduction here s a human level pro fluent summary of the SOAP note structure and content using a step by step calculation and quotes from the video The SOAP note structure is a method of documentation employed by healthcare providers to write out notes in a patient s chart The acronym SOAP stands for Subjective Objective Assessment and Plan Subjective The subjective portion of the note is based on the patient s symptoms and history This is where the healthcare provider records the patient s complaints concerns and relevant medical history For example if a patient arrives at the clinic complaining of a sore throat the healthcare provider might write Pt presents with a 2 day history of sore throat difficulty swallowing and fatigue Objective The objective portion of the note is based on measurable and observable data This includes the patient s vital signs physical examination findings and diagnostic test results For instance if the patient s vital signs are taken and they are found to have a temperature of 101 F the healthcare provider might write Vitals T 101 F P 82 bpm R 16 bpm BP 120 80 mmHg Assessment The assessment is the healthcare provider s analysis of the subjective and objective data This is where they make a diagnosis or identify any issues that need further investigation In our example the healthcare provider might write Assessment Possible streptococcal pharyngitis Plan The plan is what the healthcare provider intends to do to address the assessment This could include ordering further tests prescribing medication or scheduling a follow up appointment In our example the healthcare provider might write Plan Initiate treatment with penicillin VK 500 mg PO QID x 10 days obtain throat culture for strep testing To summarize the SOAP note structure is a clear and concise method of documenting a patient s medical history examination findings and treatment plan It allows healthcare providers to communicate effectively and efficiently with each other and with the patient As one expert in the video states The SOAP note is a fundamental tool in the practice of medicine It s a way of thinking and documenting that is accurate concise and complete