SOAP Format And Case Analysis

Question 1

What is SOAP?

Answer 1

Subjective
Objective
Assessment
Plan

Question 2

What factor does subjective analysis include?

Answer 2

Case History (chief complaint, ocular/visual history, visual and ocular demands, medical (meds and allergies), family and social history.

Question 3

What is included in the objective portion of an eye exam?

Answer 3

Physical exam (automated testing, visual acuities, externals, refractive, binocular, ocular health, diagnostic)

Question 4

What are two questions that we must ask ourselves once we find the diagnosis? (Complete S and O)

Answer 4

How does this diagnosis impact the patient?

What does this diagnosis mean for us as the patient’s provider?

Question 5

What is included in the assessment portion of the eye exam?

Answer 5

The information
Detailed overview of the diagnosis (laterality, stability, symptoms)

Question 6

What is included when creating the plan following assessment?

Answer 6

The action
Management of diagnoses (patient education, treatment details, follow up schedule)

Question 7

What are the 4 C’s of patient care? Which describes our mindset going into patient care?

Answer 7

Culture
Care
Communication
Collaboration (mindset going into patient care)

Question 8

How do we carry out the 4 C’s of patient centered care?

Answer 8

1. Observe patient behaviors
2. Construct hypothesis (differential diagnosis)
3. Gather data by performing and ordering appropriate examination procedures
4. Analyze data and make observations
5. Communicate results

Question 9

What are the 7 components of a case?

Answer 9

History & VA
Externals
Refractive Exam
Binocularity
Ocular Health
Extra Testing
Assessment & Plan

Question 10

What are the 5 goals of a case analysis?

Answer 10

Develop critical thinking and reasoning
Connect aspect of the exam
Understand when specific testing is indicated
Foster communication between supervising doctor and patients
Apply knowledge to patient care