click below
click below
Normal Size Small Size show me how
Soap Method
Chapter 2
| Term | Definition |
|---|---|
| S.O.A.P | Subjective, Objective, Assessment, & Plan |
| Subjective | How patient is feeling in own words Personal and family medical histories |
| Objective | Patients' physical exam, any lab findings, and imaging studies performed at visit |
| Assessment | Logical analysis- diagnosis, identification of problem, list of possibilities for the diagnosis (differential diagnosis) |
| Plan | Course of action |