Who invented soap notes
These early references to soap and soap making were for the use of soap to wash wool and cotton in preparation for weaving into cloth, soap was not necessarily used to wash the body. The Ebers papyrus Egypt, BC reveals that ancient Egyptians combined both animal and vegetable oils with alkaline salts to produce a soap-like substance. They used this mixture for treating sores, skin diseases as well as washing. According to the Pliny the Elder, the Phoenicians made soap from goat's tallow and wood ashes in BC.
The ancient Greeks were said to have combined lye and ashes as a cleanser for pots and the statues of their gods. Pears was the first brand to market this variety. It uses a bit of alcohol in the mix to give the product a see-through texture. A literal lifesaver. Liquid soap stopped us from slipping on a wet bar of soap and spending a couple of months in bed.
The addition of potassium salts makes the soap soft, mushy, and bubbly. I n , an English gentleman, William Shepphard , invented liquid soap. However, it was not successfully mass-produced until an unknown company named Minnetonka Corporation patented the process in They have the same chemical principle but are a little different in composition. Detergents are made from harsh chemicals unsuitable for skin application. Half of the mass is what is known as sequestering agents.
These act on hard water to separate the dissolved salts. Sodium carbonate, sodium silicate, sodium phosphates are the most common builders. They also contain industrial enzymes to dissolve oils, bleach to remove stains, and optical brighteners. Though there are competing claims, Tide, created in , is widely accepted as the first surfactant-builder composition. Detergents are available both as powder and liquid. Front-loading washing machines use less water and need special low suds formula.
Soap is an ideal way to apply various skin medications. Medicated soaps contain clotrimazole, ketoconazole, and a variety of other antifungals that treat skin infections, scabies, and itching. The addition of an extract from Azadirachta Indica , also known as Indian lilac or neem during soap manufacture, is excellent for the skin. Besides, a herbal soap may contain tea tree oil, aloe vera, turmeric, and many other supplements that keep skin smooth and supple.
Considering that a bar of soap costs less than a dollar in most places, that number is quite astonishing. As we learned during the pandemic, handwashing with soap is vital. Soaps can kill bacteria and viruses very efficiently. The SOAP note helps guide healthcare workers use their clinical reasoning to assess, diagnose, and treat a patient based on the information provided by them.
SOAP notes are an essential piece of information about the health status of the patient as well as a communication document between health professionals. The structure of documentation is a checklist that serves as a cognitive aid and a potential index to retrieve information for learning from the record.
Each heading is described below. This is the first heading of the SOAP note. In the inpatient setting, interim information is included here. This section provides context for the Assessment and Plan.
The CC or presenting problem is reported by the patient. This can be a symptom, condition, previous diagnosis or another short statement that describes why the patient is presenting today. The CC is similar to the title of a paper, allowing the reader to get a sense of what the rest of the document will entail. Thus, physicians should encourage patients to state all of their problems, while paying attention to detail to discover the most compelling problem.
Identifying the main problem must occur to perform effective and efficient diagnosis. The HPI begins with a simple one line opening statement including the patient's age, sex and reason for the visit.
This is the section where the patient can elaborate on their chief complaint. It is important for clinicians to focus on the quality and clarity of their patient's notes, rather than include excessive detail. This is a system based list of questions that help uncover symptoms not otherwise mentioned by the patient. Current medications and allergies may be listed under the Subjective or Objective sections.
However, it is important that with any medication documented, to include the medication name, dose, route, and how often. A common mistake is distinguishing between symptoms and signs. Symptoms are the patient's subjective description and should be documented under the subjective heading, while a sign is an objective finding related to the associated symptom reported by the patient.
Elements include the following. This is a list of the different possible diagnosis, from most to least likely, and the thought process behind this list. This is where the decision-making process is explained in depth. Initially, the physician fills out the subjective portion, which includes any information received from the patient, such as the history of illnesses, surgical history, current medications, and allergies.
Then, the doctor moves on to the objective component by entering any vital signs and measurements, findings from physical examinations, abnormalities, and results from previous laboratory and diagnostic tests. This should address each item of the assessment and speak to what was discussed or advised with the patient, as well as scheduling for further review or follow-ups. Below is an example of a SOAP note for a patient who has reported head pain after taking a serious fall.
NECK: C- collar in place, with tenderness over the mid C-spine bony area without obvious swelling or deformity. C-collar left in place. NM: Moves all fours well. There is mild tenderness on palpitation over the right patella but no instability, no limitation of. A ssessment Mild concussion. P lan CT of the head after C-spine is clear. Home with head injury instructions.
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