Our Services

Get 15% Discount on your First Order

SOAP Note 1 Patient is a 67 year female History of Appendicitis surgery

May 27, 2025

SOAP Note 1

Patient is a 67 year female

History of Appendicitis surgery

Married to a male

2 sons

No allergies

Pretty healthy weight

Takes daily vitamins

Only medication is blood pressure med, has been taking it for a couple years now

Chief complain is came in because she was having a lot of lower back pain

A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.

Instructions:

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.

For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

S =	Subjective data: Patient’s Chief Complaint (CC).
O =	Objective data: Including client behavior, physical assessment, vital signs, and meds.
A =	Assessment: Diagnosis of the patient’s condition. Include differential diagnosis.
P =	Plan: Treatment, diagnostic testing, and follow up

Click here to access and download the SOAP Note Template

Download Click here to access and download the SOAP Note Template

Submission Instructions:

· Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.

· You must use the template provided. Turnitin will recognize the template and not score against it.

· Complete and submit the assignment using the appropriate template in MS Word by 11:59 PM ET on Sunday.

· Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.

· You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

image1.png

>Nursing homework help

Share This Post

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

Related Questions

Journal Entry #1 Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of

Journal Entry #1 Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you identify opportunities for improvement in your clinical skills while also recognizing your clinical strengths and successes. This week, you will write a Journal Entry reflecting on

Clinical Skills and Procedures Self-Assessment Before embarking on any professional or academic activity, it is important to

Clinical Skills and Procedures Self-Assessment Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is

NUR 501 Module 4.6 Assignment ii Start Preparing Research Critical Appraisal Assignment Critical Research Appraisal Assignment

MUR 501 Module 4 Discussion Principles of Research and Evidence-Based Practice

NUR 501 Module 3 Assignment Start Preparing PowerPoint Presentation

NUR 501 Module 2 Assignment Middle Range Theory Utilization

NUR 501 Module 3 Discussion Theories & Conceptual Models

NUR 501 Module 2 Discussion Learning Theories & Principles and Quality Health Care

Treatments for Musculoskeletal & Neurological/Psychological Disorders

NUR 600 Module 5 Discussion Treatments for Genitourinary Tract Disorders

Drug Therapy & Treatments for Cardiovascular and Hematologic Disorders

Module 2 Discussion Describing, Diagnosing, & Treatment of Skin, Eye, & Ear Disorders

Module 2 Assignment Module 5 Assignment Module 6 Assignment

I need help with an assignment on ERAS perioperative protocols [removed]

Jamaican Culture (Giger & Davidhizar Model) Biological Variations Description: Individual differences in biological and genetic traits that

Jamaican Culture (Giger & Davidhizar Model) Biological Variations Description: Individual differences in biological and genetic traits that influence health. Example: Jamaicans may have a higher prevalence of hypertension and diabetes. Keloid formation is also more common in individuals of African descent. Communication Description: Includes language, tone, and body language preferences.

Agency Synopsis Identify regulatory agencies that regulate health and the

Agency Synopsis Identify regulatory agencies that regulate health and the health care system within the US, create a table listing your 5 regulatory agencies and address the following: 1. Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare

Module 2 Discussion Advocacy What examples of advocacy do you see in your

Module 2 Discussion Advocacy What examples of advocacy do you see in your own nursing practice? List and discuss 2 examples. Submission Instructions: · Your initial post must be at least 500 words, formatted, and cited in current APA style with support from at least two academic sources.

Module 2 Discussion Caring for American Eskimo, Japanese, & Russian Populations

Module 2 Discussion Caring for American Eskimo, Japanese, & Russian Populations After studying Module 3: Lecture Materials & Resources, discuss the following: A. List factors that predispose Eskimos to risk as a result of the consumption of large quantities of sugar. B. Analyze different strategies useful in communicating