HOPE is a type of patient visit that differs from the old SOAP framework. Most patients don’t realize that as soon as they enter a doctor’s office they are stuck in a SOAP framework. SOAP is:
- Subjective: What you tell me when you walk into my office
- Objective: What I observe or the tests that I do
- Assessment: Diagnosis
- Plan: The treatment component
The primary goal of the SOAP note is to find out what is the matter with a patient, put a diagnosis to it, and then treat it. But that only deals with about 20% of what goes on in chronic illness.
Simple, systematic approaches during a patient's visit can help that patient tap into their inherent healing capacity. The HOPE note is a different way to have a dialogue between patient and doctor. It stands for Healing Oriented Practices and Environments. The simple questions/tools below can quickly move toward more patient-centered, integrative healthcare and enhance healing for any patient with chronic pain. HOPE addresses;
- Your personal determinants of health
- What matters to you in your life
- Why you want to have health in the first place
- The different components—social, behavior, lifestyle—that you can tap into to actually enhance your own healing
So HOPE is a different type of a visit. I call it an integrative health visit that focuses specifically on the underlying determinants of health.