Which of the following elements is included in a S.O.A.P. note?

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A S.O.A.P. note is a structured method used by healthcare professionals to document a client's progress and treatment plan. The acronym S.O.A.P. stands for Subjective, Objective, Assessment, and Plan. Each element serves a specific purpose in the documentation process.

The "Plan" is crucial as it outlines the steps or strategies that will be implemented to address the client's needs or goals identified during the assessment phase. It provides a roadmap for future interventions and indicates the course of action, including any medications, therapies, or follow-up appointments that may be necessary.

Including a well-defined plan in a S.O.A.P. note ensures that there is continuity of care and that both the healthcare provider and the client understand the agreed-upon actions moving forward. This component is vital for effective communication among professionals and helps in tracking the client’s progress over time.

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