Subjective: 1. What happened 2. Where is the location of pain 3. Abnormal sounds/sensations 4. Equipment/ weather 5. Previous history
Objective: 1. Swelling 2. Discoloration 3. Deformities 4. Compare bilaterally 5. Circulation 6. Nerves 7.Palpate- a) bones b) ligaments c) muscle/tendons d) misc. 8. Range of motion- a) active b) passive c)resistive 9. Fracture tests- a)tap b) tuning fork c)parallel bone compression d) visual 10. Muscle test- a) resisted r.o.m. b)break test c) special test 11. Stress test ligament 12. Miscellaneous
SOAP notes stand for Subjective, Objective, Assessment, and Plan. In the Subjective section, you document the client's details and their subjective complaints. The Objective section includes measurable data like vitals or physical exam findings. The Assessment section is where you provide your diagnosis or assessment of the client's condition. Finally, the Plan section outlines the next steps, such as treatment options or follow-up appointments. Make sure to organize your notes in a clear and structured manner for easy reference.
Chart notes can often be called SOAP notes or just SOAP. It stand for subjective, objective, Assessment, and Plan in which each section contains a certain part of the Doctor's notes regarding a specific condition.
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Click on the notes app and write some notes
The stave is where you write the musical notes and it consists of five lines. Where you write the notes determines the pitch.
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