SOAP#10 - Completed SOAP note PDF

Title SOAP#10 - Completed SOAP note
Course Introduction To Clinical Practice
Institution University of Arkansas
Pages 1
File Size 65.6 KB
File Type PDF
Total Downloads 14
Total Views 166

Summary

Completed SOAP note...


Description

Speech Pathology Clinic Note

Client Name(s): Christian Date of Service (DOS): 4-18-16 Time of Service (TOS): 8:35-9:35 a.m. Clinician: Bob Buckendorf Subjective: Christian was seen for a group speech-language therapy session at Bob Buckendorf’s Private Speech Therapy Clinic. He was in a good mood and very energetic throughout the session. The therapy took place in a classroom setting at a table. Although Christian got off-topic throughout the session, he had a good day today. Objective: 1. Pragmatics; engage in turn-taking. (9/12) 75% accuracy. Additional work is needed. Continue to target this objective. 2. Auditory Closure. (4/6) 67% accuracy. Additional work is needed. Continue to target this objective. 3. Demonstrate emotion or action. (4/5) 80% accuracy. Additional work is needed. Continue to monitor this objective. 4. Answering questions logically. (15/21) 71% accuracy. Additional work is needed. Continue to target this objective. 5. Generate details about a familiar object. (3/5) 60% accuracy. Additional work is needed. Continue to target this objective. 6. Complete basic problem-solving task. (4/5) 80% accuracy. Additional work is needed. Continue to monitor this objective. **Materials/Tasks: markers, paper, stuffed animal, bubbles, books, blocks, timer, and an iPad. Assessment: Christian continues to struggle with turn-taking, answering questions logically, and generating details about objects. In order to target the objectives listed, additional work is needed. Christian has been diagnosed with Child Language Disorder (Autism). Plan: Continue with current plan of care (POC). Return to the clinic in 1 week. Meghan Moline 010640164 Undergraduate Student-Clinician University of Arkansas...


Similar Free PDFs