What does the acronym "SOAP" stand for in patient assessment?

The acronym "SOAP" stands for Subjective, Objective, Assessment, and Plan, which is a structured method for documenting patient assessments and plans of care.

In a clinical setting, the "Subjective" component includes the patient's personal experiences and symptoms, often gathered through conversations and interviews, highlighting their feelings and concerns. The "Objective" part contains measurable and observable data that the healthcare provider collects during physical examinations, lab tests, and other diagnostic tools.

The "Assessment" section allows the healthcare provider to synthesize the subjective and objective findings into a clinical judgment about the patient's condition. Finally, the "Plan" outlines the proposed actions moving forward, including further testing, treatments, or referrals, addressing the patient's needs based on the assessment. This structured approach ensures comprehensive documentation and fosters clear communication among healthcare professionals.