Which of the following is NOT a key component of documentation in occupational therapy?

In occupational therapy, documentation is crucial for ensuring effective communication among healthcare professionals, facilitating continuity of care, and providing a legal record of services provided. It is composed of several key components that adhere to ethical and professional standards.

Client information includes essential details about the individual receiving therapy, such as demographics, medical history, and pertinent background, which are critical for understanding the client's context and needs. Assessment results refer to the findings from evaluations and tests that inform treatment planning and measure progress over time. Intervention summaries describe the specific strategies and activities implemented to achieve the client's goals, ensuring that each step is recorded for accountability and treatment efficacy.

Personal opinions, however, do not belong in professional documentation. Documentation should be objective and fact-based, reflecting the observations, assessments, and interventions conducted. Including personal opinions can lead to biased impressions and may compromise the integrity of the documentation, making it less reliable for both current and future care. Thus, personal opinions are not recognized as a key component of documentation in occupational therapy, reinforcing the importance of professionalism and adherence to best practice standards.