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What is a SOAP note? Describe each section of a SOAP note and its purpose. Why is SOAP note format important in health care? How will you use SOAP notes in your career?
Weegy: In it's strictest definition it is a type of problem oriented charting where you list each patient problem and then SOAP each one. sagarcia210 has broken it down quite simply for you. [ SOAP is an acronym and indicates the sequence you want to chart these items. A general nursing note or physician's progress note can be written in the SOAP format as well. You start by writing S- and then listing subjective information the patient has told you. Then, O- followed by a listing the objective data you find. A- followed by how you are putting it all together and making an assessment. For nursing that would be a nursing diagnostic statement or simply a statement that the patient's condition continues to improve or decline and then you write a P- and list your plan of action which would generally follow what is on the nursing care plan. You sign your name at the end of all this. ] (More)
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Expert Answered
Asked 8/7/2012 3:04:37 PM
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A SOAP note is a format that is used to standardize medical evaluation entries made in clinical records. They improve communications among all involved in caring for the patient. SOAP is an acronym that stands for: Subjective- The first part of the SOAP note consist of subjective observations. These are symptoms the patient verbally expresses, and includes the patients descriptions of pain or discomfort, presence of nausea or dizziness, and when the symptoms first started. Objective- The ...
Weegy: The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [ The length and focus of each component of a SOAP note varies depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status. ] (More)
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Asked 8/7/2012 3:18:38 PM
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S - subjective, O - objective, A - assessment, P - plan. SOAP is an acronym used by health care professionals in clinical documentation in the medical record. Subjective is the reporting of the patient's signs and symptoms after the initial evaluation of the patient; objective is the results gathered from a physical examination, laboratory tests, and diagnostic imaging or x-ray results; assessment is the observation of a potential diagnosis based on the objective results and the patient's ...
Weegy: A common theory of negligence raised against physicians, especially against orthopaedic surgeons, is a claim of negligence in failing to track and monitor the follow-up care required by the patient, [ [ resulting in a delay in diagnosis or treatment and injury to the patient. For years, plaintiff?s attorneys have creatively argued that a patient?s failure to follow-up for additional treatment is the physician?s responsibility. This attempt to shift responsibility for a patient?s non-compliance to the physician prompts me to wonder whether patients have any responsibility for compliance. ] ] (More)
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Asked 8/7/2012 3:34:23 PM
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