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The assessment section is where you document your thoughts on the salient issues and the diagnosis (or differential diagnosis), which will be based on the information collected in the previous two sections. Summarise the salient points: ?Productive cough (green sputum)? ?Increasing shortness of breath?

SOAP notes include a statement about relevant client behaviors or status (Subjective), observable, quantifiable, and measurable data (Objective), analysis of the information given by the client (Assessment), and an outline of the next course of action (Planning).

SOAP notes include a statement about relevant client behaviors or status (Subjective), observable, quantifiable, and measurable data (Objective), analysis of the information given by the client (Assessment), and an outline of the next course of action (Planning).

SOAP stands for Subjective, Objective, Assessment, and Plan. Each letter refers to one of four sections in the document you will create with your notes.

The acronym SOAP stands for Subjective, Objective, Assessment, and Plan.

What does SOAP stand for in nursing? SOAP is an acronym used across medical fields to describe a method of charting. It stands for subjective, objective, assessment, and plan.

An example of this is a patient stating he has ?stomach pain,? which is a symptom, documented under the subjective heading. Versus ?abdominal tenderness to palpation,? an objective sign documented under the objective heading.

The 4 headings of a SOAP note are Subjective, Objective, Assessment and Plan. Each heading is described below. This is the first heading of the SOAP note.