SOAP

Since LWCoffee wrote documentation of herself, I thought it would be interesting to do mine too...

S:
- Student forget what she told her sup regarding the pace for this week.
- Student mentioned an increase in stress level this week but dropped to 4/10 by the end of the week.
- Student forget her herbal tea this morning.
- Student feels that she has to find out more about helping a pt. in his functioning b4 he d/c next week.
- Student realised that there is alot of communications to be done between other TEAM members in the care of pt.
- Student mentioned that she is beginning to like geriatrics and that she has learnt alot (6-7/10).


O:
- Student did cooking Ax with her pt.
- Weekly Eval done with Sup.
- Student seen few pts. with another coursemate of hers.
- Student presented in MDM for the 1st time.
- Student is seen interacting with other TAs and OTs as well as PTs.
- Student is always keeping a look out for cheap adapative aids when she walked past shops that sells almost anything and everything.



A:
- More discussions needed between students before implementing Rx if the pts. are not mgt by anyone of us.
- Student enjoy cooking Ax more than other Ax she ever conducted (maybe because she herself enjoys cooking.)
- Student enjoy eating the food after the Ax. (It is pt's and my sense of achievements because there is any increase in confidence and competency for both of us)
- Student needs to fine tune her documentation with better clinical reasoning.
- Student needs to increase initiative in letting the supervisor knows what time she wants to see her pt the next day (before he asks her), so that he can do the scheduling for her.
- Student feels that she can interact more comforatbly with other TAs. They are not as unfriendly as it seems to be.
- Student could have gotten the "zhi ye bing" syndrome.
- Student has decreased memory


P:
- To cont cooking Ax and Cooking and eating as therapy
- To cont doing her best
- To cont to get feedbacks when necessary
- To cont interating with other TEAM members
- To cont to research and look up for info in helping pt. to increase their functions in ADLs
- To cont to learn as much as possible