Week 2 - Subjective Assessment

Question 1

what does SOAP stand for?

Answer 1

subjective
objective
assessment
plan

Question 2

What is SOAP?

Answer 2

a method of documenting used by CLs fitters and health care professionals to help create a patient chart

Question 3

What does a subjective assessment focus on?

Answer 3

the px providing information regarding their experience or perceptions over their symptoms and needs

Question 4

What are 7 aspects included in a subjective assessment?

Answer 4

1. History taking
2. Reason for visit
3. Ocular History for all patients
4. Medical History
5. Existing Patient
6. Family History
7. Social History

Question 5

What are 3 aspects of the history taking during the subjective assessment?

Answer 5

name/DOB/address/phone number
date of last eye exam
prescription/sight test

Question 6

What 4 aspects are part of the ‘reason for visit’ section of the subjective assessment?

Answer 6

1. Cosmetic
2. High rx
3. Medical
4. Status regarding lenses:
   a. First time wearer
   b. Existing patient
   c. New patient but wears contact lenses

Question 7

When taking ocular history for NEW patients what are the 3 aspects we need to ask during an subjective assessment?

Answer 7

1 - Any existing problems with their eyes
2 - Vision
3 - Pregnancy

Question 8

When taking ocular history for EXISTING patients what are the 9 aspects we need to ask during the subjective assessment?

Answer 8

1 -Any new medications?
2- Any new symptoms?
3- Reason for visit
4- Any changes in general health
5- Solutions being used
6- Cleaning regime
7- Lens modality
8- Wearing schedule
9- Sleeping or over wearing lenses

Question 9

When we ask a patient about family history what conditions could indicate potential problems in the future? 7

Answer 9

• Keratoconus
• Myopia
• Corneal dystrophies
• Dry eye
• Glaucoma
• Macular Degeneration
• Diabetes

Question 10

What 4 questions should we ask when we gain social history of a px?

Answer 10

• Type of work
• How is free time spent
• Smokers/ non smokers
• Active/ Non-active lifestyle

Question 11

In Canada, we follow the Personal Information Protection and
Electronic Documents Act (PIPEDA) , which means we are not allowed to discuss any personal
information unless with the patient’s informed consent T/F

Answer 11

TRUE

Question 12

When taking medical history from a px during a subjective assessment what information do we need to gather? 4

Answer 12

4 - Overall patients general health
5 - Allergies
6 - Diseases that impact the eyes
7 - Medication / Drugs

Question 13

How should we record the history?

Answer 13

Chronologically