Identified that handwashing prevented the spread of disease
Semmelweis
The S in SOAP stands for this sort of information
Subjective: What the person tells you
The patient states, “ I have stabbing pain just below my rib cage on the right side.”
Subjective
A patient who has significant arthritis and is having difficulty with her activities of daily living (ADLs) like dressing and toileting.
Occupational Therapist
the 2 patient dientifiers
Name and Date of Birth
Being the first African American nurse. She worked to improve the rights of fellow African American nurses.
Mary Mahoney
The O in SOAP stands for this sort of information
Objective: information gathered from the evaluation of the patient by the provider
The patient’s vital signs indicate that the patient's temperature is 99.3.
Objective
A patient who had a knee replacement and is unsteady with ambulation
Physical Therapist
The significance of HIPPA
Keeping private information private: only people directly involved in the care of the patient should have confidential information
the founder of Modern Nursing
Florence Nightingale
The A in SOAP stands for this sort of information
Assessment: the provider considers the subjective and objective information and arrives at a diagnosis
The nurse measures a wound on the patient’s buttock to be 4cm x 5cms in diameter.
Objective
An ICU patient who has pneumonia.
Respiratory Therapist
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
Developing the first vaccines
Louis Pasteur
The P in SOAP stands for this sort of information
Plan: how will you treat the problem: short term and long term goals
The patient reported that they are unable to keep any food or water in their stomach.
Subjective
An patient with asthma who is hospitalized for a flair up of their asthma
Respiratory Therapist
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
Discovered penicillin
Sir Alexander Fleming
The 3 main reasons we document
track progress toward goals, communication between providers, legal documentation
The patient's daughter states her mother fell which going to the bathroom.
Subjective: Secondary
A student athlete who sprained his ankle in a basketball game
Physical Therapist
What are the 4 physical assessment techniques?
Inspection, Palpation, Auscultation, Percussion