S. O. A. P. I. E. R METHOD Flashcards
1
Q
S
A
Subjective data ( how does the patient feel?
2
Q
O
A
Objective data ( results of the physical exam, relevant vital signs)
3
Q
A
A
Assessment ( what is the clients status?)
4
Q
P
A
Plan ( does the plan stay the same? is a change needed?)
5
Q
I
A
Intervention ( what occurred? what did the nurse do?)
6
Q
E
A
Evaluation ( what is the client outcome following the intervention?.)
7
Q
R
A
Revision ( what changes are needed to the care plan?)