SOAP documentation is a problem-oriented technique whereby the nurse identifies and lists the patient's health concerns. It is commonly used in primary health-care settings. Documentation is generally organized according to the following headings: S = subjective data. read more
It's a template for documentation. S- Subjective- a description of the information you received that cannot be proven, specifically measured or independently verified, eg. "Nurse I am in pain". read more
SOAP is an acronym and indicates the sequence you want to chart these items. A general nursing note or physician's progress note can be written in the SOAP format as well. You start by writing S- and then listing subjective information the patient has told you. Then, O- followed by a listing the objective data you find. read more