Who's Who
Documentation
Subjective or Objective
Which Therapist?
Odds and Ends
100

 Identified that handwashing prevented the spread of disease

 Semmelweis

100

The S in SOAP stands for this sort of information

Subjective: What the person tells you

100

The patient states, “ I have stabbing pain just below my rib cage on the right side.”

Subjective

100

A patient who has significant arthritis and is having difficulty with her activities of daily living (ADLs) like dressing and toileting.

Occupational Therapist

100

the 2 patient dientifiers

Name and Date of Birth

200

Being the first African American nurse. She worked to improve the rights of fellow African American nurses.

Mary Mahoney

200

The O in SOAP stands for this sort of information

Objective: information gathered from the evaluation of the patient by the provider

200

The patient’s vital signs indicate that the patient's temperature is 99.3.

Objective

200

A patient who had a knee replacement and is unsteady with ambulation

Physical Therapist

200

The significance of HIPPA

Keeping private information private: only people directly involved in the care of the patient should have confidential information

300

the founder of Modern Nursing

Florence Nightingale

300

The A in SOAP stands for this sort of information

Assessment: the provider considers the subjective and objective information and arrives at a diagnosis

300

The nurse measures a wound on the patient’s buttock to be 4cm x 5cms in diameter.

Objective

300

An ICU patient who has pneumonia.

Respiratory Therapist

300

Why is it important to understand the age and developmental stage of a patient?

So you will understand how to best communicate with them and what is important to them

400

 Developing the first vaccines

Louis Pasteur

400

The P in SOAP stands for this sort of information

Plan: how will you treat the problem: short term and long term goals

400

The patient reported that they are unable to keep any food or water in their stomach.

Subjective

400

An patient with asthma who is hospitalized for a flair up of their asthma

Respiratory Therapist

400

What is health promotion?

Teaching and encouraging healthy lifestyle behaviors and helping people find the resources they need in order to be successful with their choices

500

Discovered  penicillin

Sir Alexander Fleming

500

The 3 main reasons we document

track progress toward goals, communication between providers, legal documentation

500

The patient's daughter states her mother fell which going to the bathroom.

Subjective: Secondary

500

A student athlete who sprained his ankle in a basketball game

Physical Therapist

500

What are the 4 physical assessment techniques?

Inspection, Palpation, Auscultation, Percussion

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