One way to enhance the quality of care is through the use of soap notes. It gives me an idea that soap notes provides a quick, efficient and accessible record that can track overall progress of the patient. Soap note for women’s health issue augments my understanding about women’s wellbeing and increase my knowledge about the interventions, promotions and preventions to deal with the diseases. Since soap notes encourage holistic approach, it grounds the action plans to the evidences presented. I totally agree with the preceptor because it will defend me against malpractice by keeping tracks and records. The one thing I would have done differently is to have my patient keep a diary for one week of her urine output. This would have clued the nurse practitioner of how much urine output the patient was actually putting out. I would also recommend that the patient train herself to use the bathroom every 2-3 hours to control the incontinence. In my own clinical practice, soap notes have given me a chance to improve my competence. It encourages me to work closely to my scope of practice. In clinical settings, soap notes can be considered as complementary to nurse’s notes because these maintained progress notes could alert all health care providers, focusing particularly on care.
For some artists, there isn’t even a simulacrum of ease. The modern dance choreography of the late Pina Bausch, for example, is aesthetically distinctive for its capacity to express frustration, alienation, brutality, and pain, rather than effortlessness. Even in the ballet world, one sometimes wants to see dancers work. I remember Istvan Rabovsky, the former director of a small company I danced with in New York City, admonishing me for a making my battement frappés look too easy. He wanted to see the effort. Zadie Smith, in her latest novel Swing Time (2016) , describes the pop-star character Aimee as someone who summons joy out of struggle: ‘for no move of hers flowed instinctively or naturally from the next, each “step” was clearly visible, choreographed, and yet as she sweated away at their execution, the hard work itself felt erotic, it was like witnessing a woman cross the line at the end of a marathon, or working towards her own orgasm’.