This is the format that we use and it may help you organize your thoughts.  We 
do it this way as insurance and Medical assistance can find information 
quickly.  Kim

S: Any information given or received; what client/parent said; home program 
information/hand outs given; any medical or school changes. 
O: (Always start this section with this sentence) 45 min. skilled OT tx to 
address strength/dexterity/ADLs. (I put all the treatment areas addressed in 
this session)
(Then I start with the area addressed and what was done and at what 
independence level) example:
STRENGTH: reach 1# weight all planes and CLMX with verbal cues
DEXTERITY: in palm manipulation of 1"-2" size objects with surface support.
ADLs: 1/2" buttons on worn shirt with verbal cue and mod. assist.
A: (What you think or impressions or need for changes) example: ADL progressed 
from shirt on table to worn shirt
P: Increase strength to 2# weights in clinic and 1# in home program.  Ct. to 
practice dexerity exercise at home.  Cont. POC.  OTR/L




----- Original Message ----- 
From: "pat" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Friday, July 14, 2006 8:58 AM
Subject: Re: [OTlist] Some help.


>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
>> >
>> >
>> >
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