Which of the following is an example of a standardized measure used in the Objective section of the SOAP note?

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A standardized measure in the Objective section of the SOAP note refers to quantifiable data that can be measured and observed, providing a clear and objective assessment of a patient’s condition. Observed range of motion fits this definition because it involves a physical measurement taken with specific tools, such as a goniometer, which quantifies how far a joint can move in various directions. This data can be consistently reproduced and compared across different patients, making it a reliable indicator of a patient’s functional capabilities.

In contrast, subjective complaints consist of information gathered from the patient about their experience and feelings, which is inherently qualitative and personal and, therefore, does not meet the criteria of being standardized and measurable. The clinical reasoning process and problem-solving strategies refer to the cognitive approaches healthcare providers use to make clinical decisions and develop treatment plans; these processes are not standardized measures either, as they are influenced by individual practitioner skills and patient-specific situations. Thus, the observed range of motion is the only option that exemplifies a standardized measure suitable for the Objective component of a SOAP note.

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