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SOAP Note: Subjective: CC (Chief Complaint): Joshua’s behavior has been on the decline since his middle sibling was placed in the home with him. He becomes easily angered, has frequent angry outbursts, and shows signs of arousal such as difficulty sleeping, impaired concentration, edginess, and irritability. Name: Joshua DOB: unknown- (school- aged) Minor: 12 years […]
SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. S = Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS) O = Objective […]
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 […]
NRNNP 6552 Reproductive Health. Candida Albicans or Polycystic Ovarian Syndrome Focus SOAP Note Assignment: Subjective: What details did the patient provide regarding her personal and medical history? Objective: What observations did you make during the physical assessment? Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority […]
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 […]
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 […]
