A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.

Instructions:

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.

For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

Submission Instructions:

• Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.
• You must use the template provided. Turnitin will recognize the template and not score against it.
• Your submission will be reviewed for plagiarism through Turnitin.

SOAP note assignments

Chief Complaint

P.J. is a 22-year-old African American male who presents in the facility with a chief complaint: “I am addicted to Oxycodone’’.

History of Present Illness/ Presenting Problem

The client seen at the facility with oxycodone addiction noted that he started using it as a recreational drug last year during the summer. The child first accessed the drug through his friend. He did not realize that the more he used it, the more addicted he became. He narrates that in the initial stages, he snuffed half the pill once a month and slowly increased the frequency of usage to seven times a month. P.J. further states that since he last took the drug, he has not been able to get real sleep. The client’s family is concerned about the addiction and is seeking help to manage the dependence. APA