SOAP Report Sample

Unit 1- D1: Explain how communication skills can be used in health or care environment in effective communication

During my placement, I also developed good communication skills. I learned how to communicate effectively with clients to enable the provision of health care. When addressing clients, I avoided the use of difficult medical terms and opted for simpler words that were easily understood by all. I also used a variety of efficient communication methods such as allowing clients to express themselves, providing sufficient time for discussion and maintaining eye contact with clients. And to those clients that did not understand English, I sought the assistance of a trusted

Dez' Janani Mangram is currently a freshman enrolled at Clayton State University working hard on her BA degree in Biology to become a surgeon. She has never been a huge fan of writing, but coming to college has helped her gain more knowledge on how essays should be organized and constructed. She has written many essays and reports since coming to Clayton State, she plans on writing many more reports as she further her medical career. In the future she plans on using writing as way to distribute out patients medicine, and write down signs and symptoms of a patient. She feels that writing is important in the medical field because just one little mistake you make writing down someone prescription can cause epic problems in their

I’ve only been here for two weeks, yet I have learned so much. I plan to be progressive in my career and advance to higher levels in healthcare. Though I am aware that becoming a medical assistant isn’t going to happen overnight, I plan to work hard so I may achieve this goal. This healthcare career requires a lot of skill. Medical assistants have to be very competent in communication, however, I am not very proficient when it comes to communicating.

Medicine has the capability to cure or alleviated illness, and it even brings people together such as a doctor and the patients that seek their consult. My practicum class has helped me learn the skills necessary to become a physician, which includes taking vitals, patient assessment, cardiopulmonary resuscitation, etc. Likewise, my experience in the hospital setting has helped me achieve one quality of becoming a doctor, which is communication. I learned this task through interacting and talking to the numerous amounts of visitors to the hospital and even talking to the patients

I wrote up an assessment on a therapy session with a 74 year old female as she played Rummickub. This was the first documentation experience I had during my fieldwork. An example of my first write up was: “Pt initiated 30 min session in TR clinic working on cognition, UE strength, fine motor skills, scanning, sequencing, math skills, social skills, activity tolerance, memory and direction following while participating in a table top activity. Pt required min. cues for concentration. Pt demonstrated willingness to participate in activity initiated conversation. Pt tolerated session well. Cont. POC.” This Pt was a stroke patient with symptoms of overall weakness.

To begin with the types of writings I will do in college, they will include essays, research reports, group presentations, as well as discussion boards. Throughout my college the main goal is for you to be able to produce writing that is clear and organized in every class. This will help to improve our written communication skills in every subject area. This is important for when I enter the work field to be better prepared to perform certain tasks. Furthermore, the types of writing I will be responsible for as a Medical Assistant on the job are based on the medical classes and training that I took part in college (Roberts, 2018). That was planned to prepare me for when I entered the work field. As a medical assistant I will be accountable for recording patient’s history and personal information on the daily basis (Bureau of labor statistics, 2018). Another task that will include writing is medical assistants must learn to code both paper and electronic health records (EHRs) (MedAssistantEDU.org, 2018). Ultimately, in this position I often will fill out insurance forms and will be required to handle a number of administrative duties, such as appointment scheduling, medical billing and coding, as well as medical transcriptions. I will also take part in assessing and interviewing patients as they come in for their daily

These things went well because I have adopted desirable behaviours that facilitate effective communication. For example, When interacting with patients, I actively listened and watched with great concentration. This helped me identify cues that concerned the patients, and to acknowledge their challenges as well as establishing strategies to follow them up. In addition, I would reflect back o the issues, which helped me expand on the potential concerns and problems. I also sought clarification whenever I was confronted with contradicting information. In addition, I would question to seek clarification of discrepancies (Gustafson & Reitmanova,

Each of these is a different audience; communicating to all parties in writing is difficult, as wording must be precise and understandable for all individuals reading the reports. Effective writing skills are utilized heavily in both clinical and public education settings. Reports are intended to be completely objective, focusing only on what the therapist observed and not what they perceived. For example, if a therapist thinks the student is anxious because she stutters, they can only say they observed her twirling her hair while she was speaking with a stutter. Objective writing is key to reports, whether the therapist is writing individualized education programs or insurance letters, and separates prospective speech pathologists in graduate school. Efficient, quality writing cannot be understated as a speech pathologist. Without it, individuals that need services the therapist provides would be at a disadvantage and consequently a lower quality of life. Practicing to write and synthesize information in an objective and scientific manner now will aid me as I continue to pursue this career. I want to help people, and as I improve my writing skills, I grow my ability to serve the people I will be working

Written Communication Skills for Nurses: Written communication plays a vital role in healthcare settings because it provides the facility with a permanent record of the residents and their care plans. Flym stated as a nurse written

From writing this essay I have discovered that I am on the “write” track to progress in my line of work. The main points I received from my contacts were to continue writing reports because the repetition increases proficiency, take classes on technical or general writing, read other’s reports. and, especially stressed by my EMT instructor is that “today someone will call 911 for the first time, the last time, or the only time. Don’t we owe them our best?” (Winnie

During the course of this semester; the variety of writing styles and essays assigned to me in my communication skills class encouraged the development of my writing skills, as well as provided me with more self-assurance in my abilities. My writing, research, and presentation abilities enhanced through practice, determination, and the understanding I gained during this course. With every single writing assignment, I learned new innovative approaches and skills, which enhanced my abilities to improve my thoughts logically, enabling me to write more clearly, and to organize my papers more effectively. At the beginning of this semester; despite the fact that I already knew the terminology MAP: message, audience, purpose; I never really

Written communication in healthcare system comprises of care plans, daily reports, handover sheets ,medication sheets in general ,(record keeping). These clinical records are essential skills of communication that a nurse should be able to write as well as extracting vital information from which to provide relevant and precise care. This makes continuity of necessary care possible and fulfils one of NMC’s (2008) core principles of the code of working with others to protect and promote the health and wellbeing of those in nurse’s care and obligation to ensure total and effective information is communicated to your colleagues concerning people in your care (NMC 2010). These records help to increase answerability to the part of the nurse if the nurse is aware of this will be more considerate knowing that any mistake will come around. In addition these records help as the basis for decision –making for nurses and multi-disciplinary team of which the nurse

Each nurse also has specific ideas or beliefs about what information should be communicated during a verbal report. Valuable information may not be provided or may be forgotten (Casey & Wallis, 2011). Writing information down may help a nurse recall the data later, but if there is no consistent format for recording the information, it may be lost regardless. Interruptions, distractions, and the frequency of communications also may negatively effect the communication process and contribute to a nurse forgetting to share important information (Cacolice-Hildebrand, 2008). Active listening, which involves reflecting back a meaningful understanding of one’s message, is one of the most important skills in effective communication.

My communication skills and disorganization in planning my school week, need improvement. To work on these specific weaknesses, I have set two goals for myself moving forward with this program. Firstly, I am going to make the goal of focusing on making communication part of my student nursing practice. I am going to do this by implementing one communication skill at the end of each lab practice in term two. Focusing on communicating with my partner in the lab while practicing, making communication part of my care, not just another task to be completed. Being disorganized as a nurse and as a student does not lead to success because it is more productive to be organized. So my second goal is to develop a plan for my upcoming week every Sunday for one hour in term two. Along with my shortcomings, there are fears I have looking into the future, into CPE 1 and term 2. Those are the fears of not being good enough in my practice, and being too young to succeed in the program.