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In which part of the SOAP note is medication prescribed?

User Xtravar
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Final answer:

In a SOAP note, the Plan section includes any prescribed medications. Prescriptions are given after assessing the patient's condition, as seen when a PA prescribed amoxicillin for pneumonia or when another physician prescribed a topical antibiotic ointment for an infected wound.

Step-by-step explanation:

In SOAP notes, prescribed medications are usually included in the 'P' part, which stands for Plan. This section may outline the treatment strategy, including the prescription of medication, further tests to be conducted, or patient education. For instance, after diagnosing Barbara with pneumonia, a Physician Assistant (PA) wrote her a prescription for amoxicillin, an antibiotic. If a patient does not improve, as in Barbara's case, a visit for a follow-up may be necessary, during which the treatment plan could be reassessed and amended.

In another example, a doctor prescribed an over-the-counter topical antibiotic ointment for Sam's purulent wound as part of the initial treatment plan, before the lab results could confirm the nature of the infection. Similarly, during Marisa's visit, a thorough examination led to several tests and procedures, with antibiotics considered as part of the subsequent treatment plan.

User Adel Mourad
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