A 27-year-old male diagnosed with a L medial meniscus injury…

A 27-year-old male diagnosed with a L medial meniscus injury is referred to physical therapy following arthroscopic surgery. During the examination, the physical therapist identifies decrease range of motion in the involved knee. The therapist documents the following: “L knee PROM 0-100° supine”. Where should this phrase be placed in a SOAP note?

A patient has arrived for her appointment at an outpatient c…

A patient has arrived for her appointment at an outpatient clinic. When first seen by the PTA, the patient is asked how she has been feeling since the last physical therapy session. The patient states, “I have really hurt my calves since performing toes raises during the last session.” The PTA includes this statement in the patient’s SOAP note. In which section of the note should this statement by place?