In proper documentation of the assessment section of the SOAP note, it is important for the PTA to communicate changes in the plan of care.What statement best demonstrates this communication in the assessment section?
A) The patient met all short-term goals and will discuss setting new goals with PT.
B) The patient stated that his pain level was an 8/10 prior to treatment today.
C) The patient completed AROM in (L) shoulder, flex. (I) 10x, 3 sets.
D) The patient performed quad sets 10x, 3 sets.

Question

Quizplus · Accepted Answer

Because the PTA must communicate changes in the plan of care within the assessment section of the SOAP note, this section should include statements about meeting goals.

In Proper Documentation of the Assessment Section of the SOAP