SOAPIER Documentation

Beschreibung

Fundamentals of Nursing Karteikarten am SOAPIER Documentation, erstellt von SherieChristina am 15/05/2015.
SherieChristina
Karteikarten von SherieChristina, aktualisiert more than 1 year ago
SherieChristina
Erstellt von SherieChristina vor mehr als 9 Jahre
3383
0

Zusammenfassung der Ressource

Frage Antworten
SOAPIER Definition An acronym for seven different aspects of charting. For notes on specific patient problems, only the necessary parts needed for completeness are used.
SOAPIER (S) S: Subjective information is what the patient states or feels; only the patient can provide this information.
SOAPIER (O) O: Objective information is what the nurse can measure or factually describe.
SOAPIER (A) A: Assessment refers to an analysis or potential diagnosis of the cause of the patient's problem or need.
SOAPIER (A) A: Assessment refers to an analysis or potential diagnosis of the cause of the patient's problem or need.
SOAPIER (P) P: Plan is the general statement of the plan of care to be given or action to be taken.
SOAPIER (I) I: Intervention or implementation is the specific care given or action taken.
SOAPIER (E) E: Evaluation is an appraisal of the response and effectiveness of the plan.
SOAPIER (R) R: Revision includes the changes that may be made to the original plan of care.
SOAPE Definitition The briefer adaptation of the charting format for the POMR.
Zusammenfassung anzeigen Zusammenfassung ausblenden

ähnlicher Inhalt

Chapter 3: Documentation Flashcard Review
SherieChristina
SBARR: Chapter 3 Documentation
SherieChristina
E-Commerce Quiz Chapter 3 - Multiple Choice
Sergio López
Wound Assessment and Documentation Quiz
Natalie Tredway
Health Assessment
Gwen Paparone
chapter 3
Haruna Heima
Health Assessment
Gwen Paparone
Chapter 2: Theory, Research, and Evidence-Based Practice
Alexandra Bozan
Chapter 4: Health of the Individual, Family and Community
Alexandra Bozan
IV Administration
Gwen Paparone
The Giver Chapter 3
Corey Marino