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

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 and Accountability (HIPPA) compliant. 

Subjective 

· Chief Complaint (CC) 

· History of Present Illness (HPI) (symptoms) in paragraph format 

· Past Medical History (PMH): Current problem-focused and document pertinent information only. 

· Current Medications:  

· Medication Allergies: 

· Social History: For current problem-focused and document only pertinent information only.  

· Family History: For current problem-focused and document only pertinent information only.  

· Review of Systems (ROS) as appropriate:  

Objective 

· Vital signs 

· Mental Status Exam 

· Physical findings listed by body systems, not paragraph form. 

· Patient Health Questionnaires, Screenings, and the results (PHQ-9, GAD 7, suicidal) 

Assessment (Diagnosis/ICD10 Code) 

· Include all diagnoses that apply to this visit. 

· Include one differential diagnosis. 

Plan 

· Dx Plan (lab, x-ray) 

· Tx Plan: (meds) 

· Pt. Education, including specific medication teaching points.     

· Safety Plan        

· Referral/Follow-up 

*Based on population focus, some additional details may be required by faculty Top of Form 

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Develop a health maintenance plan for Coronary Artery Disease 1. Assess, develop, and recommend  health maintenance plans for clients

Develop a health maintenance plan for Coronary Artery Disease 1. Assess, develop, and recommend  health maintenance plans for clients in all developmental stages of life  within the primary care practice.  2. Apply evidence-based guidelines to the identification and prevention  of significant healthcare problems affecting populations at risk. APA style 4-5 pages 4

  Critical Research Appraisal Assignment  Goal:  You will

  Critical Research Appraisal Assignment  Goal:  You will critically appraise a research design  Content Requirements:  You will select one research report with a qualitative design and one with quantitative design and answer the following questions regarding the following categories: 1. Discuss what is meant by the term Qualitative Research ·

Module 7 Discussion   Treatments for  Musculoskeletal & Neurological/Psychological

Module 7 Discussion   Treatments for  Musculoskeletal & Neurological/Psychological Disorders Based on  Module 7: Lecture Materials & Resources and experience, please answer the following questions: 1. Describe the diagnostic criteria of osteoarthritis versus rheumatoid arthritis 2. Discuss types of headaches and their treatment  3. Discuss types of seizures and treatment 4.

NUR4681CBE Section 01CBE Global Health (11 Weeks) – CBE Online Course – 2025 Spring Quarter Deliverable 4 – High-risk and Vulnerable Global

NUR4681CBE Section 01CBE Global Health (11 Weeks) – CBE Online Course – 2025 Spring Quarter Deliverable 4 – High-risk and Vulnerable Global Populations Assignment Instructions Competency Integrate social determinants, ethical concerns, and human rights for high-risk and vulnerable global populations. Student Success Criteria View the grading rubric for this deliverable