Question

The LPN/LVN is using the SOAPE method to chart. When documenting the S portion, which entry demonstrates correct documentation? (Select all that apply.)

1. Patient's vital signs are stable.
2. Patient reports left hip pain 8/10.
3. Patient's wife was present during patient teaching.
4. Patient ambulated 20 ft unassisted with steady gait.
5. Patient reports a feeling of nausea after eating.

Answer 1

In the SOAPE method of charting, subjective documentation should include what the patient reports, such as symptoms and feelings. Thus, the correct subjective entries from the given options are 'Patient reports left hip pain 8/10' and 'Patient reports a feeling of nausea after eating.'

Step-by-step explanation:

The SOAPE method of charting is a tool used by nurses and other healthcare professionals to document patient care in a structured format. The 'S' stands for Subjective, which is the part of charting where the nurse documents what the patient says or reports. The correct documentation for the 'S' portion would include a patient's expressions, symptoms, and feelings. Considering the options given:

• Option 1, 'Patient's vital signs are stable', is not subjective as it is an objective observation.
• Option 2, 'Patient reports left hip pain 8/10', is a correct subjective entry as it directly records the patient's expressed pain level.
• Option 3, 'Patient's wife was present during patient teaching', does not belong to the subjective information shared by the patient about their health condition.
• Option 4, 'Patient ambulated 20 ft unassisted with steady gait', is an objective observation made by the healthcare provider.
• Option 5, 'Patient reports a feeling of nausea after eating', is another correct subjective entry as it represents the patient's feelings.

Therefore, options 2 and 5 are the correct entries that demonstrate proper documentation for the 'S' portion in the SOAPE method.