Occupational Therapy Assistant

Category - Professionalism

What is a SOAP note?
  1. A traditional method of OT documentation. A SOAP note includes a Subjective statement, Objective measures of progress, Assessment of progress, and Plan of care.
  2. A traditional method of medical documentation. A SOAP note includes a Standard of care, Objective measure of a patient’s status, Area of treatment, and Plan of treatment.
  3. An electronic method of documentation specific to electronic medical records.
  4. A method of cleaning up documentation.
Explanation
Answer: A. A SOAP note is a traditional method of OT documentation. It includes a Subjective statement, Objective measures of progress, Assessment of progress, and Plan of care. SOAP notes may be used in any OT setting and are often the fall-back method of documentation when another standard is not in place.
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