Unit 4 Assignment SOAP NOTE/Case Study 2 SOAP Note Patient Name: G.D. MRN: XXX Date of Service: 01-27-2020 Start Time: 10:00 AM End Time: 10:54 AM Billing Code(s): 90213, 90836 Accompanied by: Brother CC: Follow-up appointment for counseling after discharge from inpatient psychiatric unit 2 days ago Subjective (S): Mr. Davis reports generally improved depressive […]
Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit as a Word Document. See example template below for required format. Review the rubric for more information on how your assignment will be graded. Demographic Data • Patient initial (one initial only), age, and gender must be Health Insurance Portability […]
Identifying Data (5 pts): S.N., 55-year-old male Chief Complaint: “I am feeling great, but I am here for my annual check-up.” Subjective Data (30 pts): History of Present Illness (HPI): S.N. presents for his annual wellness check-up. His last annual check-up was in May 2021 with no abnormal findings. Recent preventive care includes: Eye examination: […]
SOAP Note Template Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________ Current perception of Health: Excellent Good Fair Poor Past Medical History • Major/Chronic Illnesses____________________________________________________ • Trauma/Injury ___________________________________________________________ • Hospitalizations __________________________________________________________ Past Surgical History___________________________________________________________ Medications: __________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Family […]
Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit as a Word Document. See example template below for required format. 32 y/o female G4P2 presents to clinic at 10 weeks gestation. please fill in the rest with relevant information. Review the rubric for more information on how your assignment […]
Psychiatric Case Study SOAP note Suicidal Ideation and Depression in Adolescent The patient is a 15‐year‐old Puerto Rican adolescent female living with both her parents and a younger sibling. Her parents presented with significant marital problems, had been separated several times and were discussing divorce. Her mother reported having a history of psychiatric treatment for […]
For this Assignment, you will work with an adolescent patient that you examined during the last 3 weeks and complete a Focused Note Template in which you will gather patient information, relevant diagnostic and treatment information, and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, past […]
Instruction/ I need help writing my essay – research paper add three reference Assignment: Assessing, Diagnosing, and Treating Adults With Mood Disorders It is important for the PMHNP to have a comprehensive understanding of mood disorders in order to assess and accurately formulate a diagnosis and treatment plan for patients presenting with these disorders. Mood […]
Comprehensive SOAP Template Name Academic Institution Comprehensive SOAP Patient Initials: ___J.S____ Age: ___73____ Gender: ___M____ SUBJECTIVE DATA: Chief Complaint (CC): Chest pain and difficulty in breathing. History of Present Illness (HPI): J.S is a 73-year-old male who presents to the clinic with different symptoms including chest pain and difficulty in breathing. He indicates the symptoms […]
Assessing and Treating Pediatric Patients with Mood Disorders Introduction Treating pediatric patients with mood disorders can present various considerations. The considerations include selecting the medication, the need to increase the dosage, change the drug, and observe ethical principles. The case study involves an 8-year-old African American male. The child presents with various symptoms such as […]