I may be misunderstanding the question, but I am thinking that Emma is asking for help with SOAP notes as they relate to her dyslexia, not what they are and how to do them in general. Am I on the right track Emma?
Pat Ellison At 09:24 PM 7/13/2006, you wrote: >Hello Emma >First of all - What setting do you work in? Are you required to use the SOAP >format for your chart notes? > >We use a similar but simpler format DARP >Data - eliminates the need to separate 'subjective' and 'objective'. I find >this helpful. Using SOAP I was always realising that I had left out >something the client had told me after I was into my own observations. Of >course it is necessary to use phrases like 'Mr. B. stated' to clarify where >the information came from or use quotation marks. Also it is easier to use >when data comes from several different sources. (Are the daughter's >contributions S or O?) >Actions - what you did. This allows you to record what you did 'on the spot' >rather than writing a plan and developing another note to record stuff >already done. >Response - from the client. Quotes are good here. What you want to record is >whether your action was acceptable to the client and what difference, if >any, it made. >Plan - what you are going to do next to fulfill the treatment plan you >developed after your first assessment. >If your note is to record a brief contact, one or two episodes, be sure to >state an occupational performance goal in your plan. > >Whichever format you use - I find it helpful to jot down my plan, preferably >before I leave the client, so I have a written record of what I said I was >going to do. Then as I begin to write the chart note my plan cues me to what >happened and why I had decided to do that rather than trying to keep the >plan in my head while I write all the rest down. Hope this helps. >Joan Riches > > > > -----Original Message----- > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf >Of > > Emma Cole > > Sent: Sunday, July 09, 2006 9:25 AM > > To: [email protected] > > Subject: [OTlist] Some help. > > > > Hi, > > I am a OT in uk and have difficulty with my note writing due to my >dyslexia. > > I was wondering if anybody have information on SOAP notes and information >on > > writing them as it is getting me down at work. > > Many thanks > > > > emma > > > > > > > > -- > > Unsubscribe? > > [EMAIL PROTECTED] > > > > Change options? > > www.otnow.com/mailman/options/otlist_otnow.com > > > > Archive? > > www.mail-archive.com/[email protected] > > > > Help? > > [EMAIL PROTECTED] > > > > -- > > No virus found in this incoming message. > > Checked by AVG Free Edition. > > Version: 7.1.394 / Virus Database: 268.9.10/383 - Release Date: 7/7/2006 > > > >-- >No virus found in this outgoing message. >Checked by AVG Free Edition. >Version: 7.1.394 / Virus Database: 268.10.0/388 - Release Date: 7/13/2006 > > > >-- >Unsubscribe? > [EMAIL PROTECTED] > >Change options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >Help? > [EMAIL PROTECTED] -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
