Episodic/Focused SOAP Note Template Patient Information: Initials, Age, Sex, Race S. CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”. HPI: This is the symptom analysis section of your note. Thorough documentation in this section is […]
Date: May 1st, 2022
One critical element of any physical exam is the ability of the examiner to put the patient at ease. By putting the patient at ease, nurses are more likely to glean quality, meaningful information that will help the patient get the best care possible. When someone feels safe, listened to, and cared about, exams often […]
Date: May 1st, 2022
Soap Note 1 Acute Conditions Due by 02/06/2021 at 11:59 pm Soap Note 1 Acute Conditions Pick any Acute Disease from Weeks 1-5 ( ACUTE BRONCHITIS ) Must use the sample template for your soap note, keep this template for when you start clinicals. Late Assignment Policy Assignments turned in late will have 1 point […]
Date: May 1st, 2022
In a Microsoft Word document of 4-5 pages formatted in Ace homework tutors – APA style, address each of the following criteria. Two focused health assessment histories One assessment related to the tympanic membrane and the other focused on the thyroid gland. The assessments can be hypothetical patients or patients you have had in the […]
Date: May 1st, 2022
SOAP Note Template Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________ Current perception of Health: Excellent Good Fair Poor Past Medical History • Major/Chronic Illnesses____________________________________________________ • Trauma/Injury ___________________________________________________________ • Hospitalizations __________________________________________________________ Past Surgical History___________________________________________________________ Medications: __________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Family […]
Date: May 1st, 2022
Episodic/Focused SOAP Note Exemplar Focused SOAP Note for a patient with chest pain S. CC: “Chest pain” HPI: The patient is a 65 year old AA male who developed sudden onset of chest pain, which began early this morning. The pain is described as “crushing” and is rated nine out of 10 in terms of […]
Date: May 1st, 2022
Tympanic Membrane and Thyroid Gland Week 8 Using the South University Online Library or the Internet, research the tympanic membrane and the thyroid gland. Based on your findings, create a 5- to 6-page Microsoft Word document that includes: Information about a minimum of two health assessment histories. The possible findings for the tympanic membrane. Information […]
Date: May 1st, 2022
Week 2: Respiratory Clinical Case APN Click here to download and analyze the case study for this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care. Visit the online library […]
Date: May 1st, 2022
Assignment: Assessing, Diagnosing, and Treating Musculoskeletal and Neurologic Disorders Consider the example of Sue from the case study in Chapter 13 of your textbook: Sue is a 68-year-old healthy woman with no significant medical history. She is in the office today with complaint of intractable nausea and vomiting for the past 5 weeks with an […]
Date: May 1st, 2022
Focused SOAP Note Student’s Name Institutional Affiliation Course Professor’s Name Date Patient Information: J, 71, F, Race S (subjective) CC (chief complaint): Fatigue, thinning hair, and dry skin. HPI (history of present illness): Ms. Juggenmeir is a 71-year-old Female who comes into your office with concerns of fatigue and dry skin. She is a retired […]
Date: May 1st, 2022
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