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Body Function
S.O.A.P.
Goal Writing
Goal Types
S.O.A.P and Note Writing Techniques
100
Understanding the distance between yourself and objects.
What is Spacial Relationships
100
The client said she is hearing voices telling her to cut her hair.
What is Subjective?
100
The A in ABCD stands for this.
What is Audience?
100
By discharge, Bill will feed himself three meals a day independently.
What is a Restorative Goal?
100
There are three main note writing techniques.
What is SOAP, DAP, and Narrative?
200
The ability to know where you are.
What is Orientation to Place
200
Saji's shirt was misbuttoned, untucked and stained.
What is Objective?
200
The A in RHUMBA stands for this.
What is Achievable?
200
Sandy will continue to live in her own home with minimal assistance of a home health aide, for the next 6 months.
What is a Maintenance Goal?
200
Documenting this section of the note allows the therapist to interpret the therapy session and justify why O.T. is working with the patient.
What is the Assessment?
300
Knowing where your body parts are moving and in which direction.
What is Body in Space
300
Increase repetitions as tolerated.
What is Plan?
300
The E in FEAST leads the goal writer in thinking what will the client do. The E stands for this.
What is Expectation?
300
Jimmy's home will be modified to allow wheelchair access both inside and outside the house, by discharge.
What is a Modification Goal?
300
In this section of a note a chart may be used to list multiple measurements.
What is Objective?
400
Being able to sense if objects are hot or cold.
What is Thermal Awareness
400
Client will work on chewing food at least 10 times before swallowing.
What is Plan?
400
The B in ABCD stands for this.
What is Behavior?
400
Erica will write her name legibly on all of her school papers by May 30, 2013.
What is a Habilitative Goal?
400
This section of a note allows for direct suggestions for intervention.
What is the Plan?
500
Using both sides of your body to complete steps of an activity.
What is Bilateral Coordination?
500
Usha does not interact with peers.
What is Assessment?
500
The M in RHUMBA stands for this
What is Measurable?
500
Jacie will list five strategies for removing herself from situations that tempt her to engage in the use of cocaine, by the next session.
What is a Preventative Goal?
500
When using the DAP format, these two sections are combined from the SOAP note format to form the D.
What is Subjective and Assessment?