SOAP
The S in soap stands for
what is subjective
to not have a fever
What is afebrile
to hit something
What is Percussion
if something is hidden
what is occult
NPO means
Nothing my mouth
the O in soap stands fore what
What is objective
Symptoms recently began
What is acute
another word for normal
could be a diagnosis
what is an assessment?
a patient takes a medication PO she takes it how
by mouth
The A in Soap stands for
What is assessment
a decrease level in consciousness
what is lethargic
tells about the part of the health record collected during the health care providers interaction with the patient
What is objective
if I have a tumor I hope it is
What is benign
what is well developed well nourished
The p in soap stands for
What is plan
more and more each day
progressive
to feel
What is palpation
no known cause it just happens
idiopathic
pt charts states NKDA that means
NO known drug allergies
identification of the actual problem in SOAP is
What is the diagnosis
unrelated to the specific problem
what is noncontributory
able to answer questions, responsive, interactive
what is alert and oriented
what the health care provider thinks the patient has
what is diagnosis
give an example of a CVL
what is a PICC line