In SOAP notes, what type of information is included in the Objective section?

In SOAP notes, the Objective section is dedicated to documenting factual, measurable data and observations obtained during assessments and evaluations. This includes information such as vital signs, test results, physical examination findings, treatment outcomes, and other quantifiable metrics that are relevant to the client's condition or progress.

Providing clear, objective evidence of a client's status helps in ensuring that the information is useful for tracking changes over time, making informed clinical decisions, and creating a treatment plan based on concrete data. The emphasis on measurable findings distinguishes the Objective section from the Subjective section, which captures the client's personal experiences and self-reporting. By focusing on specific measurements and examination findings, this section facilitates a professional and standardized method of recording important details in therapeutic documentation.