On this course undertaking project, you’re offered with scientific notes for 2 completely different sufferers. These progress notes have been recorded as SOAP notes. A SOAP observe is a standard technique of documenting a affected person’s go to with a healthcare supplier. These notes are saved in a affected person’s medical file and will likely be used for therapy, billing, and different actions to observe the affected person’s well being over time.
SOAP is an acronym that stands for Subjective, Goal, Evaluation, and Plan. Every of those elements is used to file a significant a part of the affected person’s go to.
Subjective: Consists of the affected person’s complaints and states the affected person’s signs in his or her personal phrases
Goal: Consists of data that the supplier can measure, corresponding to important indicators, weight, or findings from a bodily examination
Evaluation: Features a differential analysis or abstract of indicators and signs
Plan: Consists of remedies carried out, follow-up appointment data, referrals, or different orders
You may be exploring the medical terminology utilized in these SOAP notes and will likely be requested to interpret the meanings of varied phrases and abbreviations.
To finish this project, do the next:
Obtain the scientific notes for the 2 sufferers:
Kay Salisbury Scientific Notes (I’ve connected it beneath)
Virginia Thompson Scientific Notes (I’ve connected it beneath)
Obtain, full, and submit the doc beneath. This doc accommodates questions you’ll reply concerning the scientific notes for every affected person.
Module 02 Course Venture Task Template (I’ve connected it beneath)
PLEASE USE A BLANK WORD DOCUMENT TO ANSWER THE QUESTIONS ON THE COURSE PROJECT QUESTIONS DOCUMENT
