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SOAP Note # _____ Main Diagnosis: Herpes Zoster PATIENT INFORMATION Name: Ms. GP Age: 78 Gender at Birth: Female Gender Identity: Female Source: Patient Allergies: Peanut, Iodine Current Medications: Insulin Lantus 100 u/ml: 15 units in the morning and at bedtime Metformin 500 mg: 1 tablet PO once a day Atorvastatin 20 mg: 1 tablet […]
Focused SOAP Note Patient Information: D, 72-years old female. S. Chief Complaint (CC): Debilitating headache and neck pain HPI: Dickson is a 72-year old female who comes to the clinic with a debilitating headache and neck pain. The patient complains that the problem is not new, but has worsened in the last week and currently […]
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 […]
Comprehensive Psychiatric Evaluation Template With Psychotherapy Note Encounter date: __20/04/2023_______________ Patient Initials: __P.S.____ Gender: M/F/Transgender _Female___ Age: __23___ Race: _Caucasian____ Ethnicity __White__ Reason for Seeking Health Care: _ “For the past two months, my mood swings have been pretty intense. I can be joyful one minute and start crying for no apparent cause the next. […]
Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is […]
Patient Information: JF, a 32-year-old female, presents with complaints of fever, cough, and shortness of breath. S. CC (chief complaint): Fever, cough, and shortness of breath. HPI: JF reports feeling unwell for the past week, with symptoms that started as a mild cough and progressed to fever and shortness of breath. She describes her cough […]
NRNP 6552: Advanced Nurse Practice in Reproductive Health Care Episodic/Focused SOAP Note Patient Information: JW, a 62-year-old black female presents with chronic lower back pain. S. CC (chief complaint): Chronic lower back pain. HPI: JW has been experiencing pain for several months, which occurs after a day of hard work. Her work consists of lifting […]
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 […]
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 […]
