SOAP Notes
The goal for writing this section is to share the results of the assessment given to the client.
Objective
Instruction in how to use AE would be this type of intervention.
Education and Training
They won the 2024 World Series
Los Angeles Dodgers
NKA
No Known Allergies
A client dons her pants, socks, and shoes after the therapist hands them to her.
Set up
When writing the note in this setting, the therapist will need to have more than 5 long-term goals.
EI or Schools
Focusing on a client's strength and ROM is a type of this intervention approach.
Bottom Up (or Restore)
This Olympian is the most decorated of all time- with 28 total medals.
Michael Phelps
AKI
Acute Kidney Injury
Client completes 30% of the steps needed to cook a meal.
Max Assist
A well written plan contains the frequency, duration, and this 7 letter word
Purpose
Changing the environment to improve on posture and work skills is this type of intervention approach.
Modification
A hall of famer without question, this MLB third baseman and shortstop set a record of playing in 2,632 games straight.
Cal Ripken Jr.
POC
Plan of Care
Client ambulates to bathroom for toileting activity. Therapist uses a gait belt during ambulation.
CGA
Keep making strides!!! This 8-letter word is often talked about in the assessment portion of a SOAP note.
Progress
The goals and intervention plan should be centered around this person.
The Client
Even though they have been around since 1944, this team has never player in or hosted the Super Bowl.
Cleveland Browns
H&H
Hemoglobin and Hematocrit
Patient uses BUE to push from chair. Therapist gives 26% of the effort to help patient stand.
Mod Assist
It would be hard to reach the stated goals of a client if the occupation, timeline were mentioned but not this.
Assist level
The best practice for treatment of a total shoulder replacement is this
What the surgeon says
These 2 states, beautiful as they may be, have never sent a men's college basketball team to the NCAA tournament.
Alaska and Maine
DDD
Degenerative Disc Disease
Independent