Does anyone know of a book/website that helps students sharpen their S.O.A.P. charting skills?
I also noticed a website called care plans
. However, it charges $20.00/yr to view their care plans. Has anyone subcribed to this site, and if so, is it worth it?
Mar 15, '04
Here's an example of SOAP that I got out of my Fundamentals of Nursing book:
S - "I'm worried about what it will be like aftre surgery."
O - "Client asking frequent questions about surgery. Has had no previous experience with surgery. Wife present, acts as a support person.
A - Knowledge deficit regarding surgery related to inexperience. Client also expressing anxiety.
P - Explain routine preoperative preparation. Demonstrate and explain rationale for TCDB exercises. Provide explanation and teaching booklet on postoperative nursing care.
This is from the Potter Perry book page 507. Hope this helps!
S - Subjective data (verbalizations of the client)
O - Objective data (that which is measured and observed)
A - Assessment (diagnosis based on the data)
P - Plan (what the caregiver plans to do).
Last edit by JENRN2BMICHIGAN on Mar 15, '04