soap note assignment to fill out
This is a soap note assignment to fill out. You need to do so research from the references above. Please i need conclusion paragraph when done. Please read the instructions carefully and answer the questions correctly. Can you do some research on the topic from the resources below. The references should be from 2016-2022 please.. Avoid plagiarism at all cost.
Thank you for reading this post, don't forget to subscribe!This requires no pages. It requires you to filled out the soap note. You have stuff written in bolds, that’s for you to fill out and also do some researches using some references below and some good references of your choice. Please i also need an intext citation.
Skin Comprehensive SOAP Note
Patient Initials: _______ Age: ______ Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC):
History of Present Illness (HPI):
Medications:
Allergies:
Past Medical History (PMH):
Past Surgical History (PSH):
Sexual/Reproductive History:
Personal/Social History:
Health Maintenance:
Immunization History:
Significant Family History:
Review of Systems:
General:
HEENT:
Respiratory:
Cardiovascular/Peripheral Vascular:
Gastrointestinal:
Genitourinary:.
Musculoskeletal:
Psychiatric:
Skin/hair/nails:
OBJECTIVE DATA:
Physical Exam:
Vital signs:
General:
HEENT:
Neck:
Chest/Lungs:
Heart/Peripheral Vascular:
Abdomen:
Genital/Rectal:
Musculoskeletal:
Neurological:
Skin:
Mental examination:
Diagnostic result:
Patient education:
Treatment:
.
Diagnostic results:
Clubbing-
Radiology:
CXR :
ECG:
Normal sinus rhythmic movement:
Spirometry-
ASSESSMENT:
Differential Diagnosis (DDx):
Primary Diagnoses:
PLAN:
Patient
14F: CC: F/U feels the same, but more energetic
Meds: Pristiq 50mg, Vistaril 50mg
Dx: depression, anxiety, ADHD
Change: none
Learning Resources
soap note assignment to fill out Required Readings (click to expand/reduce)
Note: Review the Psychiatric Mental Health Nurse Practitioner Competencies.
HSoft Corporation. (2020). Meditrek: Home. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
The patient log must include the following:
- Date
- Course
- Clinical Faculty
- Preceptor
- Patient Number
- Client Information
- Visit Information
- Practice Management
- Diagnosis
- Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter
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