SOAP Note for Physiotherapy Assessment • A thorough assessment of the patient requires to carry out different physical tests to know about the patient’s ability and disability.• The purpose of the assessment should be to fully and clearly understand the patient's problems, from the patient's perspective as well as the clinician's, and the physical basis for the symptoms that have caused the patient to complain.• One of the most common assessment recording method used is the problem-oriented medical record methods, which is known as” SOAP" notes
• SOAP stands for the four parts of the assessment:
- Subjective
- Objective
- Assessment
- Plan
- CHIEF COMPLAIN
- HISTORY OF PRESENT ILLNESS
- HISTORY OF PAST AND FAMILY ILLNESS
- REVIEWS OF SYMPTOMS
- CURRENT MEDICATION / OTHER TREATMENT
- ASSOCIATED OTHER DISEASES / ALLERGIES
- / 1
• This format was introduced by Dr. Lawrence weed for a medical record called Problem–Oriented Medical Record (POMR).• The use of SOAP notes helps the physical therapist to organize and plan quality patient care.• This method is especially useful in helping the examiner to solve a problem.• The subjective session of the SOAP notes is about what the patient is experiencing.• Subjective Assessment includes,