this soap note will be on a patient you made up who has schizophernia  Step 1: You will use the 

this soap note will be on a patient you made up who has schizophernia 

Step 1: You will use the 

Graduate Comprehensive Psychiatric Evaluation Template


 Download Graduate Comprehensive Psychiatric Evaluation Template
to:

1. Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic.

2. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan.  

S = 

Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS) 

O = 

Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam 

A = 

Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes 

P = 

Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up 


Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

Purpose: The purpose of this assignment is to assess your ability to conduct a systematic and comprehensive head-to-toe physical assessment. This will

Purpose: The purpose of this assignment is to assess your ability to conduct a systematic and comprehensive head-to-toe physical assessment. This will help reinforce critical thinking, clinical reasoning, and documentation skills essential for nursing practice. By completing this assignment, you will demonstrate proficiency in assessing various body systems, identifying normal

COMPLETE USING DOCUMENT POSTED WITH ASSIGNMENT Thumbnails/thumbnail.png Determining Anesthesia Service Payments and Modifiers As a new medical

COMPLETE USING DOCUMENT POSTED WITH ASSIGNMENT Thumbnails/thumbnail.png Determining Anesthesia Service Payments and Modifiers As a new medical coder for an Anesthesiologist group, it is important that you practice calculating service payments by assigning the appropriate anesthesia code(s) and modifier(s), as well as determining the base and time unit values, any

COMPLETE ALL QUESTIONS Thumbnails/thumbnail.png 1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN

COMPLETE ALL QUESTIONS Thumbnails/thumbnail.png 1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN BLANK  parties for ICD-10-CM to accompany and complement the official conventions and instructions provided within ICD-10-CM. 2) Official coding guidelines use the term FILL IN BLANK  when referring to face-to-face contact between patients and health

  Questions Discussion Board: Instructions Purpose: The purpose of this assignment is to familiarize you the complexity of quantitative statistical

  Questions Discussion Board: Instructions Purpose: The purpose of this assignment is to familiarize you the complexity of quantitative statistical analysis. Instructions: For this discussion, please complete the following: Review the assigned chapters in Polit and Beck (2017): i.e., chapters 18-20. Identify five different facts or pieces of information that