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SOAP Notes Flashcards | StudBud
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SOAP Notes
SOAP Notes
15 terms
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StudBud Administration
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Flashcards
15 cards
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Practice quiz
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Questions
15
Answers
1
Pt completed LB drsg w/MIN A and verbal cues for orientation to clothing and safety during clothes management
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P
A
S
2
Client demo'd FAIR+ static sitting balance on edge of mat, supported with LUE x5 mins for crossing midline activity
S
P
A
O
3
Hand dominance is still emerging
P
A
S
O
4
Pt approached for OT while seated in bedside chair and verbalized motivation to get dressed in street clothes
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A
S
O
5
Pt demo'd 4/5 strength in RUE and 3+/5 in LUE
O
P
S
A
6
Client was given a HEP (home exercise program) with plan to upgrade next week
O
A
S
P
7
Pt required initial training on energy conservation strategies during light meal prep, with return demo ~50% of session
O
A
S
P
8
Pt demo improved safety during shower routine and ability to return home alone
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O
A
S
9
Recommend trial of sock aid and reacher next session during LB drsg
S
O
P
A
10
I lived by myself and was completely independent
A
P
S
O
11
OT will educate caregiver on pursed lip breathing and safe toilet transfer for use at home and provide a handout
O
A
S
P
12
Client reports that their left hip pain has increased
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A
S
P
13
Client was able to feed herself using a built up handle with verbal cues 50% of meal and <25% spillage
P
S
O
A
14
Pt's O2 sat was 94% on 4L at rest but dropped to 86% after toileting. He required 12 mins to recover and return to >90%
A
P
S
O
15
Friction tape on w/c rims helped improve client's ability to propel w/c
S
P
O
A
