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Noufal.A
• SOAP was originally designed by
Dr. Lawrence L. Weed for medical doctors
• Method of written documentation based on the
"pharmacists view on drug therapy”
• PWDT (pharmacist's workup of drug therapy)
• PMDRP (Pharmacist's Management of Drug--
Related Problems)
• PCP (pharmacist's care plan)
• Subjective: This is the story that is told in the
patient's own words
• Objective: Results of all examinations
• Assessment: Make a comment on what is going
on with the patient. Record here your differential
diagnosis, working diagnosis and steps you might
take to confirm or deny each item
• Planning: explanation of treatment into what was
done today and what will done at the next or
future visits
CASE STUDY
52-year-old, 80 kg, male who comes to the
clinic with continued complaints of shortness
of breath and increased sputum production.
He reports that a rash began yesterday.
He also complains of feeling depressed,
lacking energy ,waking up early in the
morning and not being able to go back to
sleep,a decreased appetite,a general lack of
interest in everything, including his job and
his family for the last 6 weeks.
Although he has several medical problems, he has
been doing well prior to this episode
CHIEF COMPLAINT