I take the sheet and raise it up to cover her back and shoulders. I rub her shoulder-blade lightly. There’s a different quality to this touch; it’s friendly rather than therapeutic. It’s my signal that our relationship is about to change.

“How are you feeling?” I ask.

She sighs deeply, in that wordless, untranslatable language of contentment. Then she speaks. “Cared for,” she says.

Some outcomes you write in your SOAP notes. Others you keep in your heart.

photo credit: Boyce Duprey via photopin cc

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