In which component of SOAP would you typically find a medication review?

The Plan component of SOAP documentation is where you would typically find a medication review. This section outlines the proposed interventions and management strategies. A medication review involves assessing the medications a patient is currently taking and determining their appropriateness, dosage, efficacy, and potential side effects. By placing the review in the Plan, healthcare providers can formulate a strategy for adjustments in treatment based on the review findings. This aids in ensuring that patients receive optimal medication management tailored to their needs.

In contrast, the Subjective component captures the patient’s personal experiences, symptoms, and concerns; the Assessment component deals with the healthcare provider’s clinical evaluations and diagnoses; and the Objective component documents measurable or observable data. None of these sections would typically include a comprehensive medication review, as that exists within the framework of planning future care and treatment interventions.