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soap |
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SOAP /SOAP / a device for conceptualizing the process of recording the progress notes in the problem-oriented record (see under record ): S indicates subjective data obtained from the patient and others close to him; O designates objective data obtained by observation, physical examination, diagnostic studies, etc.; A refers to assessment of the patient's status through analysis of the problem, possible interaction of the problems, and changes in the status of the problems; P designates the plan for patient care. soap (sōp) any compound of one or more fatty acids, or their equivalents, with an alkali; it is detergent and is used as a cleanser.
soap Etymology: L, sapo a salt formed from fatty acids and an alkali. Soap cleanses because molecules of fat are attracted to the fatty part of the anions of soap in a water solution and are pulled off the dirty surface into the water. Compare detergent. See also green soap, surfactant. SOAP [sōp′, es′ō′ā′pē′] (in a problem-oriented medical record) abbreviation for subjective, objective, assessment, and plan, the four parts of a written account of the health problem. In taking and charting the patient history and physical examination, a SOAP statement is made for each syndrome, problem, symptom, or diagnosis. Charting by this method is said to be "soaped," and charts produced by using it are called "soap charts." See also problem-oriented medical record. soap, n a salt or mixture of salts, of aliphatic acids, such as palmitic, stearic, or oleic acid, with sodium or potassium used for cleaning purposes. soap, antimicrobial n hand cleanser infused with ingredients to reduce the number of microorganisms found on the skin. SOAP acronym for subjective data, objective data, assessment, plan, the way the progress notes are organized in problem-oriented medical record keeping. soap any compound of one or more fatty acids, or their equivalents, with an alkali. Soap is a detergent and is employed in liniments and enemas and in making pills. It is also a mild aperient, antacid and antiseptic. green soap a potassium soap made by saponification of vegetable oils, excluding coconut oil and palm kernel oil, without the removal of glycerin; it is the chief ingredient of green soap tincture. medicated soap those containing additional ingredients, usually for the treatment of skin disorders, e.g. insecticides, keratolytics, antiseptics, antipruritics. soap poisoning common dishwashing and laundry soaps can be a source of poisoning for dogs and cats. There can be gastrointestinal and neurologic signs. soft soap (medicinal) green soap. soap substitute detergents or cleansing creams for cleaning the skin, especially removing greasy films or glandular exudates. SOAP Patient records A standard format for physician charting of Pt exams on a problem-based Pt record; SOAP combines patient complaints and physician determinations. See Hospital chart, Medical record.
SOAP
Subjective data–supplied by the Pt or family
Objective data–physical examination and laboratory data
Assessment–a summary of significant–if any new data, physician conclusions
Plan–intended diagnostic or therapeutic action
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