Posted: June 28th, 2022

NURS6512 SKin Assessment SOAP Note

NURS6512 SKin Assessment SOAP Note

Select one pores and skin situation graphic (establish by quantity in your Chief Grievance) to doc your task within the SOAP (Subjective, Goal, Assessment, and Plan) observe format, reasonably than the standard narrative fashion. Seek advice from Chapter 2 of the Sullivan textual content and the Complete SOAP Template on this week’s Studying Sources for steering. Keep in mind that not all complete SOAP information are included in each affected person case.
Use scientific terminologies to clarify the bodily traits featured within the graphic. Formulate a differential analysis of three to 5 attainable circumstances for the pores and skin graphic that you simply selected. Decide which is probably to be the right analysis and clarify your reasoning utilizing a minimum of three totally different references from present proof based mostly literature. NURS6512 SKin Assessment SOAP Note
ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE PAPERS
Complete SOAP

Affected person Initials: __JJ_____ Age: __54_____ Gender: __M_____

SUBJECTIVE DATA:

Chief Grievance (CC): Small, itchy, raised patches on decrease again

Historical past of Current Sickness (HPI): Jeremiah Jergens is a 54-year-old Caucasian male who presents at present with a big cluster of thick, crimson, raised patches on his decrease again. Jeremiah first observed the patches four years in the past, a number of days after he recovered from a strep throat an infection. He has related signs of tenderness, itchiness and flaking of the patches. They usually bleed when he accidently scratches off a patch. He reported the he’s “embarrassed by the look of it” and won’t take his shirt off on the seaside. He has additionally observed each his knees, joints in his fingers and again are very stiff within the mornings however lessens after strolling and utilizing his joints for a bit. He has been utilizing Tylenol to Help with the joint ache and for the patches, he studies utilizing Benadryl ointment for the itching. Each present minimal reduction. He charges his discomfort a four/10 at present however in mornings 7/10 because of the joint ache. Jeremiah Jergens, a 54-year-old Caucasian male, seems at present with a number of thick, crimson, elevated patches on his decrease again. He has had these lesions for a while. 4 years in the past, when Jeremiah had recovered from strep throat, he observed the spots. The spots are delicate, itchy, and flaky, and he has different signs as nicely. He incessantly scratches off patches, inflicting them to bleed. As he put it, he’s “embarrassed by the look of it,” therefore he won’t go shirtless on the seaside. He additionally experiences morning stiffness in his knees, fingers, and again, which he says regularly improves after some bodily exercise. He says he has been relieving his joint discomfort with Tylenol and his patch itching with Benadryl cream. Each are solely mildly useful. Since waking up, his joint ache has elevated from a four to a 7 on his ache scale.

Medicines:

Over-the-counter Tylenol 500mg PO as soon as every day within the morning
Over-the-counter Benadryl Additional Energy topical ointment as wanted
Atenolol 75 mg PO twice every day
Over-the-counter Aspirin 325 mg PO as soon as every day
Males’s Multivitamin as soon as every day
Epi-Pen as wanted
CONT …
Complete SOAP Template – NURS6512 SKin Assessment SOAP Note

Affected person Initials: ZY Age: 65 Gender: Feminine

SUBJECTIVE DATA:

“I’ve a number of crimson raised lesions throughout my chest and abdomen”. This occurred about two weeks in the past

Chief Grievance (CC): A number of raised crimson spots throughout torso (picture #2).

Historical past of Current Sickness (HPI): A 65-year-old Caucasian male presents to the clinic with a number of crimson papule throughout torso. The spots are crimson in shade, some raised and a few are flat to the pores and skin. There are about 48 spots and so they appear like little cherries and have tough and clean edges to it. It began about two weeks in the past with 5 spots and regularly elevated to about 48 spots. There are not any relieving or aggravating components.

You could embody the 7 attributes of every principal symptom:

Order | Check Discount

Tags: 150-200 words discussion with a scholarly reference, 200-300 words response to classmate discussion question, 250 word analysis essay, bachelor of nursing assignments, case study, essay bishops website