SOAP Note

Unit 4 Assignment SOAP NOTE Case Study 2

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 […]

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Date: July 21st, 2024

Submit 1 Mini-SOAP note on a patient

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 […]

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Date: July 21st, 2024

Emily Johnson is a 42-year-old female presenting for her annual wellness check-up

Case Study: Emily Johnson is a 42-year-old female presenting for her annual wellness check-up. She has been experiencing occasional headaches and fatigue for the past three months. Emily works as a high school teacher and has noticed increased stress levels lately. She has a family history of hypertension and breast cancer. Emily is concerned about […]

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Date: July 17th, 2024

A 58-year-old female, reports experiencing increased fatigue,

SOAP Note: Nursing & Medical diagnosis/es formulated with correct ICD- 10 codes. Include health maintenance diagnosis per guidelines. You MUST provide at least 3 likely differential diagnoses and list R/Os if appropriate. Include pertinent positives & negatives for the Mgt plan cost-effective, clinically correct & includes sections for medical & nursing therapeutics. Patient education should […]

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Date: July 17th, 2024

15-year-old female presents with a 2-day history of burning pain

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 […]

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Date: January 22nd, 2024

SOAP Note: Psychiatric Case Study

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 […]

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Date: July 4th, 2023

Acute confusion, agitation and restlessness.

Comprehensive SOAP Note Name Academic Institution Comprehensive SOAP Patient Initials: ___Ms. P____ Age: ___70____ Gender: ___F____ SUBJECTIVE DATA: Chief Complaint (CC): Acute confusion, agitation and restlessness. History of Present Illness (HPI): Ms. Peter is a 70-year old female brought to the healthcare facility by the son. Her son indicates that the mother has acute confusion, […]

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Date: September 9th, 2022

Assessing Musculoskeletal Pain

Assessing Musculoskeletal Pain Student’s Name Institutional Affiliation Course Professor’s Name Date Assessing Musculoskeletal Pain Patient Information: Initials – SJ Age – 42 Sex – M Race – White S. CC: Lower back pain that sometimes radiates from the left leg. HPI: 42-year-old male visits to the clinic complaining of lower back pain. The patient explains […]

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Date: September 7th, 2022

Assessing and Treating Patients with Sleep/Wake Disorders

Assessing and Treating Patients with Sleep/Wake Disorders Introduction The case study involves a 31-year old male with insomnia and has begotten progressively over the last six months. According to the patient, he has never been a greater sleeper, but now he has challenges sleeping (Walden University, 2021). The sleeping problems started after the loss of […]

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Date: September 7th, 2022

Clinical Pharmacy Placement

Introduction This placement handbook has been ready to assist your studying throughout your scientific placement for PY3060B Scientific Pharmacy. It additionally acts as your diary/log e-book and must be accomplished and submitted for evaluation. Some sections are required to be signed by the pharmacist supervising you and the case presentation/affected person remedy evaluate presentation can […]

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Date: May 1st, 2022

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