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example of a SOAP NOTE

example of a SOAP NOTE
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It is the information about the patient presented or written in a specific order which includes certain components.

If everyone used a different format it is very difficilt to understand to get confused when reviewing patients record .It consist of four sections subjective ,objective.assessement and plan.

A soap note template by a nurse practitioner or any other person who works with the patient enters it into the patients medical records inorder to update them.It can also be used to communicate any data to other health care providers in case they dont get any chance to speak verbally.

In subjectiv part it consist of history including the review of intaking form

Objective- This includes physicla examination of the patient.

Assessement -An evaluation of what you are doing,your assessenet of progress.

Plan-this is the plan of care

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