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Description
Flashcards by SherieChristina, updated more than 1 year ago
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Created by SherieChristina
almost 9 years ago
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| Question | Answer |
| 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. |
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