Week 6: Assessment of the Abdomen and Gastrointestinal System ABDOMINAL ASSESSMENT Subjective: • CC: “My stomach hurts, I have diarrhea and nothing seems to help.” • HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to […]
COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT Week 9 Shadow Health Comprehensive SOAP Note Template 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: […]
Infant or Toddler (Under Age 6). Step 2: Each student will create a focused SOAP note or PowerPoint presentation. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The comprehensive psychiatric SOAP note or PowerPoint is to be written using the attached template below. Do not provide a voiceover or video for […]
Patient Name: XXX MRN: XXX Date of Service: 02-13-2020 Start Time: 09:00 End Time: 10:49 Billing Code(s): 90853, 90791 Accompanied by: Mother CC: Follow-up for a 33-year-old male post discharge from inpatient psychiatric stay HPI: The patient was admitted to an inpatient facility two weeks ago due to mental health issues, following several weeks of […]
NRNP6675 Focused SOAP Note Assignment Subjective Chief complaint: “I’m feeling really down and hopeless.” History of present illness: Mr. Tremaine reports that he has been feeling depressed for the past 6 months. He describes feeling sad, hopeless, and unmotivated. He has also lost interest in activities that he used to enjoy. He has difficulty sleeping […]
Instructions: Select one of the topic mentioned below and discuses filling the attached form. Topics: Pneumonia Requirements Ø The discussion must address the topic Ø Rationale must be provided Ø Use at least 600 words (no included 1st page or references in the 600 words) Ø May use examples from your nursing practice Ø Formatted […]
Psychiatric SOAP Note Template Encounter date: ______17/05/2023__________________ Patient Initials: ___G.W.___ Gender: M/F/Transgender _Male___ Age: __15___ Race: ___Caucasian__ Ethnicity __White__ Reason for Seeking Health Care: “For the past three weeks, my son has been quite depressed. He has not been eating well and prefers to spend his after-school hours alone in his room. He used to […]
Comprehensive SOAP Note: Comprehensive SOAP Patient Initials: R.H. Age: 66 Gender: Female SUBJECTIVE DATA: Chief Complaint (CC): The patient presents with an abnormal skin condition on her shoulder and chest, resembling the red plaques in Figure 3 of the skin conditions. History of Present Illness (HPI): R.H. is a 66-year-old Caucasian female who reports an […]
MSN5600L WeeK-4 Soap note Assignment Details ( you can also use your imagination in addition to given information below, if specific information is not given) Jill is a 50-year-old woman who lives with her husband and two children (aged 20 and 18). She has come to see her PMHNP with worries about a number of […]
Write A Focused Soap Note A mother brings her 14-year-old daughter to the clinic because of a persistent facial rash that has been present for 3 to 4 weeks. The child is restless at night and scratches in her sleep. She is otherwise healthy. Physical examination reveals a well-nourished, healthy-appearing girl with dry, red, scaly […]
