SOAP Note workshop - Jan. 2023

Which of the following is a reason why it is important to write thorough but concise SOAP notes?

• 1. To justify payment for services

• 2. So the client knows what to expect

• 3. To facilitate improved patient care.

• 4. Both 1 & 3

How long should it take another clinician to read through a well-written SOAP note, in order to pick up where it was previously left off?

• 2-3 minutes

• 5-8 minutes

• 10-12 minutes

• 15+ minutes

The following is an example of which section of a SOAP note:

The client arrived 10 minutes late for today's session; his daughter reports that the client experienced a syncopy episode when transferring into his vehicle, however was feeling better with rest and a glass of water.

• Subjective

• Objective

• Assessment

• Plan

Describing the activity itself AND how it relates or how it was used to focus on your therapy goals is included in which part of the SOAP note?

• Subjective

• Objective

• Assessment

• Plan

True/False: Only relevant/useful information, or information that is abnormal should be included in the S section.

• True

• False

The following is an example of which section of a SOAP note:

Compared to previous sessions, client demonstrated decreased reliance on cues when identifying vowels and spelling nonsense words incorporating short /e/ and /i/. Client also demonstrated increased ability to self-correct when identifying words with target short vowels.

• Subjective

• Objective

• Assessment

• Plan

True/False: It is okay to restate your data in the A section of the SOAP note because it reiterates how the client performed during today's session.

• True

• False

Which part of the SOAP note should include how you are going to progress the client's therapy sessions next time to continue challenging them and continue to progress toward LTGs?

• Subjective

• Objective

• Assessment

• Plan

What is missing from the following Objective section?

The client was provided social scenario picture cards that had a difficult situation depicted on them. She was instructed to state an appropriate response to each situation. The client independently provided an appropriate response for 81% of the pictured scenarios, provided max verbal cues from the clinician (e.g., prompts to try again or elaborate more).

• Accuracy achieved

• Nothing! Looks good as is!

• Cueing provided

• Purpose of task/relation of task to goal areas

True/False: It is okay to state "Continue goals and objectives as planned" in the P section of your note.

• True

• False