soap note - cmaj · 2020. 7. 13. · e848 cmaj | july 20, 2020 | volume 192 | issue 29 © 2020...
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E848 CMAJ | JULY 20, 2020 | VOLUME 192 | ISSUE 29 © 2020 Joule Inc. or its licensors
Subjective: Chronic headaches, she complains lack of sleep Too fatigued to lament lack of love Too weak to fight lack of voice Resigned to Chasing her pain with pills
Objective observations: Affect flattened Her eyes blackened by fist impressions Forearm bruises read like a map islands without sanctuary A second-degree burn from failing the third degree her hands tremble her compass sways between gain and loss old lines fade, new ones are drawn
Assessment: she believes she can change him she believes he is wounded she fears escalation
Plan: Survival prn
Amritpal Singh Arora MD Burnaby, BC
This article has been peer reviewed.
HUMANITIES | ENCOUNTERS
SOAP noten Cite as: CMAJ 2020 July 20;192:E848. doi: 10.1503/cmaj.200092
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