Comprehensive SOAP Note Examples

Compose a written comprehensive psychiatric eval of a patient

Compose a written comprehensive psychiatric eval of a patient you have seen in the clinic (9 years old patient). Please use the template attached. Do not use “within normal limits”. “admits or denies” Is accepted. FOLLOW THE RUBRIC BELOW. PLEASE FOLLOW REQUIREMENTS: formatted and cited in current APA style 7 ed with support from at […]

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Musculoskeletal pain and arthritis

Comprehensive SOAP Note #3 Number of sources: 4 Paper instructions: Practicum Experience – Comprehensive SOAP Note #3 After completing this week’s Practicum Experience, review the Comprehensive SOAP Note Exemplar and Template in this week’s Resources, and reflect on a patient who presented with musculoskeletal disorders or pain. Describe the patient’s personal and medical history, drug […]

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Case Discussion SOAP Note Impetigo

1 Page Case discussion: Main Diagnosis: Impetigo Differential diagnosis: 1- Herpes simplex 2- Varicella 3- Contact dermatitis References: within the Last 5 years Case Discussion SOAP Note ___________________________- Patient: [Patient’s Name] Date: [Date of Examination] Age: [Patient’s Age] Gender: [Patient’s Gender] Medical Record Number: [MRN] S: The patient presents with a skin rash characterized by […]

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The patient is a 45-year-old female who presents with a chief complaint

Subjective: The patient is a 45-year-old female who presents with a chief complaint of shortness of breath and chest tightness for the past 3 days. The patient reports no fever, cough, or other respiratory symptoms. She denies any history of asthma or chronic obstructive pulmonary disease (COPD). The patient reports a past medical history of […]

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The patient is a 45-year-old male presenting with complaints of persistent lower back pain

Subjective: The patient is a 45-year-old male presenting with complaints of persistent lower back pain that has been bothering him for the past two weeks. He reports that the pain is a dull ache that started gradually and has been worsening since it began. He describes the pain as being constant and affecting his lower […]

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The patient, Mr. X, a 52-year-old male, presents to the clinic

Subjective: The patient, Mr. X, a 52-year-old male, presents to the clinic with complaints of persistent cough and shortness of breath for the past two weeks. He reports that the cough is non-productive and that he has been experiencing wheezing. Additionally, the patient complains of fatigue and chest tightness. He denies any fever, chills, night […]

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Week 4: Case Study

PRAC 6675: PMHNP Across the Lifespan II Week 4: Case Study Objectives: Identify the signs and symptoms of three different psychiatric disorders. Explore psychopharmacology that may help with the treatment plan. Examine the diagnostic criteria from the DSM-5 that can help lead to a diagnosis. Subjective: Chief Complaint (CC): “I think I have schizophrenia.” History […]

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Skin Comprehensive SOAP Note

Skin Comprehensive SOAP Note: LAB ASSIGNMENT: DIFFERENTIAL DIAGNOSIS FOR SKIN CONDITIONS • • Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions […]

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The patient is a 28-year-old male

NRNP PRAC 6665 Assignment Select a patient of any age (either a child or an adult) that you examined during the last 3 weeks. Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide […]

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What is a SOAP note? The Subjective, Objective

What is a SOAP note? The Subjective, Objective, Assessment and Plan (SOAP) note is an acronym representing a widely used method of documentation for healthcare providers. The SOAP note is a way for healthcare workers to document in a structured and organized way. AGAIN please do research if needed. I have provided a nursing SOAP […]

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