Nursing

Episodic/Focused SOAP Note   Patient Information: Initials, Age, Sex, Race S. CC (chief complaint) is 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: Location: head Onset: 3 days ago Character: pounding, pressure around the eyes and temples […]

Cognitive Decline in an Elderly Patient Instructions Case study: Forgetfulness A 70-year-old female comes to your clinic with complaints of forgetfulness. She noticed it about a year ago and it has progressively gotten worse. She sometimes forgets what she is going to do when she gets to another room. Her family has noticed the problem

Allergic rhinitis Instructions Assignment: -Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided. -Provide evidence from the literature to support diagnostic tests that would be appropriate for the case. -List five different possible conditions for the

Comprehensive SOAP Exemplar   Purpose of the Comprehensive SOAP exemplar: To demonstrate what each section of the SOAP note should include. Remember that Nurse Practitioners treat patients in a holistic manner and your SOAP note should reflect that premise.   Patient Initials: _______                 Age: _______                                   Gender: _______   SUBJECTIVE DATA:   Chief Complaint (CC):

Instructions Attached: -SOAP Example to use as a guide – SOAP Template to fill out for this assignment. Instructions: -Choose one skin condition graphic to document your assignment in the SOAP note (Subjective, Objective, Assessment, and Plan). – Use the attached Comprehensive SOAP Template for guidance. Remember that NOT ALL comprehensive SOAP data is needed

Case Study: Postmenopausal Bleeding Instructions Thelma Smith is a 58-year-old African American female who presents to the office with the complaint of brown discharge for several days last week. Her medical history is remarkable for type 2 diabetes somewhat controlled with glipizide and metformin (last A1C 7.5). She is a G0, having never been able

Episodic/Focused SOAP Note Template   Patient Information: Initials, Age, Sex, Race S. CC (chief complaint): This is 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

Case Study: Missed Period Instructions Juanita Morales is a 47-year-old G5. P5 LC 6, Hispanic female who presents to the office complaining of lower abdominal cramping, and urinary leakage for past day. She states the abdominal cramping, suprapubic, started several hours ago, is sharp, intermittent, and getting more frequent and painful. She tried Motrin but

Case Study: Chlamydia, Trichomoniasis ,Bacterial Vaginosis Instructions Review the Learning Resources for this week, with a focus on the media program related to basic microscope skills. Also, consider revisiting the media programs found in Week 1 Learning Resources. Carefully review the clinical guideline resources specific to your assigned case study. Use the Focused SOAP Note

Paget Disease of the Nipple-SOAP Note Instructions This is a soap note to be done on a female patient with a primary diagnosis of Paget Disease of the Nipple Differential diagnosis: Eczema, and psoriasis. INCLUDE ICD 10 CODE WITH DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS Use both the templates attached. NRNP 6552 Focused SOAP Note Template WK4