Topic: soap note on rash or lesions
Understanding the pathological disease processes surrounding the client’s health care concerns allows the student to intelligently and safely vary the plan of care according to each client’s situation as opposed to applying written protocol in the same manner for a widely diverse group of clients.
This section of the SOAP note should briefly discuss the pathophysiological processes pertinent to the client’s specific case. In multiple disease states, an explanation of the effect of one disease process on another must be provided. For instance, if a client has diabetes and hypertension, the student should relate the concomitant pathophysiological processes of the combination of the disease entities.