What does the S.O.A.P. assessment stand for?

The S.O.A.P. assessment stands for Subjective, Objective, Assessment, Plan, which is a structured method used in medical documentation and patient evaluations.

In this framework, the "Subjective" component involves gathering information from the patient about their symptoms, experiences, and perceptions, providing context for the clinician. The "Objective" section encompasses measurable or observable data collected during the examination, such as vital signs and physical findings, allowing for an objective understanding of the patient's condition.

The "Assessment" part synthesizes the subjective and objective data to identify the patient's health issues, and it may also include a diagnosis based on clinical judgment. Lastly, the "Plan" outlines the proposed interventions and treatments, ensuring that there is a roadmap for addressing the patient’s needs moving forward.

This method is widely adopted across various healthcare settings because it promotes clear and organized communication among healthcare providers about patient care, facilitating continuity and thoroughness in treatment.