S.O.A.P Dr. Ali Abd El-Monsif Thabet. Introduction Each day in clinic, the physical therapists document what they do with patient. One of the methods.

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Presentation transcript:

S.O.A.P Dr. Ali Abd El-Monsif Thabet

Introduction Each day in clinic, the physical therapists document what they do with patient. One of the methods they use is a form of patient care note called a SOAP note. It is very commonly used through out the physical therapy services. Each day in clinic, the physical therapists document what they do with patient. One of the methods they use is a form of patient care note called a SOAP note. It is very commonly used through out the physical therapy services.

Introduction What is the SOAP means ? What is the SOAP means ? It is an acronym, each letter stands for name of a section of the patient note as follow:- It is an acronym, each letter stands for name of a section of the patient note as follow:- S → stands for subjective S → stands for subjective O → stands for objective O → stands for objective A → stands for assessment A → stands for assessment P → stands for plan P → stands for plan

The relationship of SOAP in the decision making process

How to write S.O.A.P Writing subjective

Rules of writing subjective Rules of writing subjective

Writing objectives Writing objectives

Rules of writing objectives Rules of writing objectives

Assessment It includes the following sections that provide the reader with the therapist's reasoning for goals and treatment It includes the following sections that provide the reader with the therapist's reasoning for goals and treatment

The problem The problemAssessment

Setting Priority Setting Priority

Rules of writing problems list Rules of writing problems list

Long term goals Long term goals

Structure of long term goal (ABCD) Structure of long term goal (ABCD)

Short term goals Short term goals

PLAN

Discharge summary Discharge summary

Thank you