http://metaot.com/quick-notes-note-writing-in-soap-notes#comment-29656
It's a nice article, very useful. The following was my explanation of the DAP note:
What do you think of DAP notes?
Our Inpatient Rehab has been using them for a long time and the Acute Rehab in the Hospital has been for about a year. It essentially melds the S and the O into a D... for DATA.
The DAP note then mixes the subjective comment into the objective thing you are saying. Here's an extreme example (for effect):
S: Patient states "It hurts." Patient states, "that feels better." Patent states, "I don't feel too good."
O: Patient reported pain on deep palpation of supraspinatus. Patient performed pendulum exercises followed by reaching and placing cans with internal and external rotation at abdomen level with relief noted above. Patient vomited right after they said line 3 above.
Instead of
Data: Patient reported pain on deep palpation of supraspinatus. Patient stated, "It's hurts." Patient performed pendulum exercises followed by reaching and placing cans with internal and external rotation at abdomen level, when asked how it felt patient stated "That feels better." On performance of a follow up deep palpation patient became pale, stated "I don't feel too good." and vomited.
Again, an extreme example, but it might help to anchor the benefit of the alternative note structure. DAP might not spell something that we wash with but it is useful. I contend that S and the O are only broken out that way because they spell SOAP... Does anyone know the history?
A and P (Assessment and Plan are the exact same as in the SOAP format). So it's:
D: Data
A: Assessment
P: Plan
Hope this helps in the pursuit of the perfect note.
Yours,
Ed Kaine, OTR, RFTPresident of the League of Functional Therapists
Website: http://www.functionaltherapist.org/
Functional Therapy... the Next Generation of Occupational Therapy!
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