SOAP Notes
Authored by Emily Buchman
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University
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10 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Client expressed frustration during session, saying “It’s hard, I don't want to” and becoming visibly upset.
Subjective
Objective
Assessment
Plan
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Client will receive skilled OT 1x/day for 3 weeks
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Decreased dynamic standing balance poses safety concern during dressing.
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Patient reports that she has had difficulty holding a cup without spilling for the last few months.
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Client participated in 30 min OT session in hospital room for UE activities to increase AROM in R shoulder and increase activity tolerance.
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Patient exhibited agitation and compulsivity behaviors throughout the session.
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Client will complete 3-step morning routine with setup assistance within 2 weeks.
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