Question

Which statement is the best description for the A of a SOAP Note?

A) The pt will need continued skilled training in the use of a long handled reacher and Mod A for BADLs upon d/c.

B) The pt has learned to transfer I from bed to w/c and vice versa and he is progressing towards his LTG of regaining I in dressing.

C) The pt reports being discouraged to require additional assistance for dressing.

D) The pt would benefit from the use of zipper pulls and extends handles for clothing management

Answer 1

The 'A' in SOAP Note stands for Assessment, which involves the healthcare provider's synthesis of information to make a clinical judgment. The best description of 'A' among the provided options is option B, which states the patient's progress in relation to the treatment goals.

Step-by-step explanation:

The SOAP Note is an acronym for Subjective, Objective, Assessment, and Plan, representing a structured method for documenting health care provider's thoughts and analysis after clinical evaluation. The 'A' in SOAP stands for Assessment, which is where the health care provider synthesizes the subjective and objective information to make a clinical judgment. The best description for the 'A' of a SOAP Note among the given options is option B) The pt has learned to transfer I from bed to w/c and vice versa and he is progressing towards his LTG of regaining I in dressing. This statement provides a clear assessment of the patient's progress and reflects on the set long-term goals (LTGs). Options A and D are more Plan focused, detailing what interventions could be beneficial, and option C describes the patient's subjective feelings without providing a clinical assessment.