Clinician's Corner: Writing a good progress note
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- Опубліковано 10 вер 2024
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I am glad I listened to this! I like your synopsis of how SOAP notes have "evolved "! What a great way to further engage our patients in their care! The note as a "contract " with our patients for their care! Thanks again!
So we’re all just gonna pretend he didn’t hold the soap up for the entire video huh
Right
😂😂😂
LCSW here! This was very helpful as it gave me ideas to write a mental health progress note. Thanks!
Reading back your notes to the patient has been something I started doing some time ago. There’s not a better way for patients to know you’re listening than by being an advocate for their story.
All the tips were good.
Let me ask you: how do you feel about taking notes during interviews? I always have but now that I’m a M1, a lot of the teaching physicians don’t.
Interesting! I'm just a few weeks away from becoming a physician and I have never even thought of reading them back to them but it sounds like a great idea. I mean, I sure do explain what it is going on and I have to simplify things because my patients usually have had poor education (if at all), but sometimes during the chaos of being in a hospital it is easy to forget the details and to take your time with each one of them. Anyway, this tip works best in a primary care setting where you don't see patients every day.
Now, regarding your question (which I know wasn't directed at me), it really depends on what your goal is, on how many patients you are taking care of during that day and on your memory, of course. If you are only looking at a few ir you're just checking up on them, you might not need to write anything down. I'm usually very bad at remembering stuff (I have ADHD) so I tend to take notes whenever I can, but only details. As you get the hang on patients and the usual course of diseases, you will realize that your notes will decrease in length and content as everything becomes more obvious/predictable and easier to remember.
@@thomasakel8726 I know this comment was 5 yrs ago but it really helped me. I'm an MS4 and feel kind of dumb that I write things down while the pt is telling them to me (I have ADHD too so I'm scared I'll forget important details), so it really makes me feel better to know that as I get better, my notes will decrease. Thank you!
I like your views on SOAP notes, especially your comments on plan to have a concurrence from patient/participant. Without their commitment to "plan" no treatment is likely to get best results.
You can stop holding that handwash soap now, Doc. Lmao.
this is an excellent explanation! it's the best approach I've EVER heard or read.
Wow, thank you, Iris! 💖
Great topic that is often glossed over. In the UK we often use SBAR for written notes and verbal referrals and handovers - situation, background, assessement and recommendations of what needs to be done. It makes it succinct but includes the most important points for someone on call to know what needs doing and how urgently to do it. Great video as always.
Mental Health with Dr Elliott
....did you sign a youtube comment?
Wow I can't thank you enough Dr. Desai!!
This was helpful!: Especially the bit where we understsand that it's something to read back to patient if you should see them again.
-S: History
-O: Physical
-A: DDx (creschendo): MAY be X, but we should also consider Y; or even say something doesn't make sense
-Plan: specifically: patient has agreed to ... drink x 3x/ week, go to gym 4x month -- very specific
Thanks for the feedback! 😊
This is good stuff! I'm currently learning how to write SOAP notes and for the life of me I keep getting stuck on the Assessment and Plan portions. I feel like some other providers really write diatribes of information and I'm sitting here typing, "pt has the flu. They need to drink more water." LoL
Thanks for demystifying this information for me Doc!
You're welcome!
the story idea is helpful, thanks!
I really like your explanation of SOAP note
Great video. How many hours do physicians spend with paper work per day? Do you do this notes in the end of your day or while talk to pacients? Is faster to dictate? Do you spend more time with pacients or doing paperwork? Thanks🙏
Thanks for this usefull information osmosis 👍
Very good and informative. I will use the SOAP skills for my case report.
ALWAYS ASMOSIS 100%
Thanks for such a useful video 💜💜
SOAP are the BEST!!! 🙌😬
Can u pls gve a presentation on typhoid fever and chicken pox?? Plss
Thank you 😊
Awesome Sir,
very informative
Can I know which tools use for Video Making
so really good
Thax doc!
Thanks much
thanks alot
What happened to playlists?
Hi Ismo, thanks for the interest! Check out our playlists here: osms.it/playlist. These playlists include all of our high-yield content, not just the videos available on UA-cam.
Niceee
😍
All you do, just Don't drop the soap buddy.