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The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.
Pronunciation follows convention outside the medical field, in which acronyms are generally pronounced as if they were a word (JAMA, SIDS), initialisms are generally pronounced as individual letters (DNA, SSRI), and abbreviations generally use the expansion (soln. = "solution", sup. = "superior").
A kardex (plural kardexes) is a genericised trademark for a medication administration record. [2] The term is common in Ireland and the United Kingdom.In the Philippines, the term is used to refer the old census charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...
This is a list of abbreviations used in medical prescriptions, including hospital orders (the patient-directed part of which is referred to as sig codes).This list does not include abbreviations for pharmaceuticals or drug name suffixes such as CD, CR, ER, XT (See Time release technology § List of abbreviations for those).
Sortable table Abbreviation Meaning Δ: diagnosis; change: ΔΔ: differential diagnosis (the list of possible diagnoses, and the effort to narrow that list) +ve: positive (as in the result of a test)
skilled nursing SNB: sentinel node biopsy (ductal carcinoma) SNF: skilled nursing facility: SNHL: sensorineural hearing loss: SNP: sodium nitroprusside single nucleotide polymorphism: SNRI: serotonin–norepinephrine reuptake inhibitor: SNV: sin nombre virus (the most common type of hantavirus) single nucleotide variant: SO: salpingo-oophoritis ...
Abbreviation Meaning q: each, every (from Latin quaque) : q15: every 15 minutes q6h q6° once every 6 hours q2wk: once every 2 weeks qAc Before every meal (from Latin quaque ante cibum)
acronym for a group of bacteria that are a frequent cause of endocarditis in children HAD: HIV-associated dementia: HADS: Hospital Anxiety and Depression Scale: HAE: hereditary angioedema: H/A: headache: HAI: healthcare-associated infection or hospital-acquired infection: HALE: health-adjusted life expectancy HAPE: high-altitude pulmonary edema ...