SOAP Notes
The portion of a SOAP note that contains statements the patient specifically told you.
Ex: My pain is a 4/10.
What are subjective findings?
This is the legal responsibility an athletic trainer has to provide appropriate care to an athlete.
This healthcare professional specializes in preventing, evaluating, treating, and rehabilitating athletic injuries.
Who is the athletic trainer?
This is the largest organ of the human body and protects the body from the outside environment.
What is the skin?
A break in the bone
What is a fracture?
This section includes things the clinician can see, measure, or test
What are objective findings?
This occurs when the athletic trainer fails to meet the expected standard of care.
What is breach of duty?
This professional focuses on movement, function, and rehabilitation after an injury or surgery.
Hint: think more basic functions for general populations
What is a physical therapist?
The longest and strongest bone in the body
What is the femur?
The stretching or tearing of a tendon
What is a strain?
This section contains your clinical impression based on your findings.
What is the assessment?
This element connects the athletic trainer's mistake to the athlete's injury.
What is causation?
Our direct oversight physician has these two letters behind his name
What is MD?
Connects bone to bone in the body
What is a ligament?
The stretching or tearing of a ligament
What is a sprain?
A diagnosis that represents how the patient is appearing when you see them first- without any imaging to solidify findings
What is a clinical diagnosis?
Medical bills, additional injuries, and lost playing time can be examples of this element.
What are damages?
This specialist focuses on injuries and conditions involving bones, muscles, ligaments, tendons, and joints.
Who is the orthopedic doctor?
Connects muscle and bone in the body
What is a tendon?
A type of fracture that develops over a long period of time from repetitive microtraumas
What is a stress fracture?
Three things every SOAP note should include.
What are the athlete's name/ date of birth, date of examination, and clinician signature?
Duty, Breach of duty, causation, and damages are all needed in order to prove this legal term
What is negligence?
This healthcare professional helps athletes with hydration, fueling, recovery, and nutritional needs.
Who is the sports nutritionist (or dietician)?
Also known as the growth plate
What is the Epiphyseal plate?
A type of fracture that is unique to adolescents as it affects the growth plates.
(hint: category name with 5 different types
What is a Salter-Harris fracture?