SOAPE NOTE
Name: ____Mrs. W____________________________________
Focus: Nutrition Imbalances
S: “The money spent of food is big a waste because of my stomach problems” whispered Mrs. W when questioned about the scattered plates of uneaten food. “I need to eat less anyway since I’m not even sure I’ll have enough money to last me the rest of my life” stated Mrs. W. “I just don’t feel motivated to do anything these days. I don’t see the point anymore” stated Mrs. W after she was asked about her recent mood.
O: Overall functioning has become more compromised in the last 2 months. Has lost weight over the last several months and fridge is almost empty but there are scattered uneaten meals around the kitchen counter. Has been experiencing stomach problems. Shows signs of depression.
A: Risk for imbalances in nutrition related to scattered plate of uneaten meals by evidence of weight loss over several months and stomach problems
P: Encourage family and friends to visit Mrs. W more often to increase overall motivation and a balanced diet. Organize an affordable, nutritious and balanced meal plan including food that she likes.
E: “I try and always follow my new meal plan not only is it delicious but it’s not too expensive and it makes my daughter worry less” responded the patient when asked about her new meal plan. “I have been feeling very happy lately I get to see my daughter and people I know more often; we talk eat and laugh together which makes me very happy and excited. When they are around, I feel hopeful, like I can get through life and enjoy my last moments. I can’t wait till the next time I see them” responded the patient when asked about her recent mood.