Sample Soapie Charting.docx

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Sample SOAPIE Charting

Patient’s Name: Miss. M T Case: Post CS Room: 143 S >“Sumasakit yung tahi ko” as verbalized by the patient. > Pain Scale of 6/10 O > (+) Facial Grimace > Irritability > Restlessness A > Acute pain related to post cs P > At the end of 8 hours shift, patient will report relived pain from 6/10 to 4/10 I > Provide quite environment > Encouraged to do deep breathing exercise > Encouraged adequate rest period > Encouraged to support the affected area upon movement E > Goal met, patient’s pain decreased from 6/10 to 4/10

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