COAST and SOAP notes

COAST

C - client

O - occupation

A - assistance level required

S - specific conditions (not always necessary)

T - timeline

C “client will” O “perform UB dressing” A “c min A” S “& A/E PRN” T “w/in 3 wks”

goal writing exercise:

LTG: Pt will perform LB dressing c Mod I & use of reacher within 12 wks

STG: Pt will perform LB dressing c Min A c use of reacher and no more than 25% v/c in 6 wks

SOAP

S - subjective : information received from pt or caregiver that is relevant to pts present condition

O - objective : Measurable, observable, information describing treatment session or used to plan pt treatment

A - Assessment : Professional conclusions drawn by the therapist based on the objective information

P - Plan : the plan for the pt’s treatment