Today I sat down with the clinical tutor with a SOAPIER I had prepared and went over the analysis and plan the tutor was pleased that I a logical problem list that related to my objective assessment and a good plan that related to my problem list.
It had helped that my clinical supervisor had me write full soapiers for all the entries that I made in the clinical notes taking special note of the A and P. I also wrote down a summary of admission for each patient that both Elle and I had been dealing with which helped clarify in my mind the details required for a thorough and logical analysis and plan see below.
Age
Sex
Dates of admission to hospital Dates of admission to this hospital
Diagnosis including
Xray/CT
Dates and details of surgery/intervention
Complications
Past medical history
Medications
Social history + previous mobility and aids
Precautions
I am feeling a little more positive now due to some positive feedback but am still apprehensive.
No comments:
Post a Comment