Hello there! Want a discount? Grab 5% OFFon your first order!
originalresearchpapers.com logo
Hello there! Want a discount? Grab 5% OFF on your first order!
originalresearchpapers.com logo

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

 Presentation: Critical Review & Evaluation of Health Promotion Protocol/PracticeThe

 Presentation: Critical Review & Evaluation of Health Promotion Protocol/Practice The purpose of this assignment is to complete a review of a screening tool utilized by nurse practitioners in maintaining individual, family, or community health. Your presentation should: 1. Identify and select a screening tool   2. Research of ethical, economical and

MY ARTICLE    http://www.mdpi.com/journal/medicines  *Instructions: 1. Utilize your

MY ARTICLE    http://www.mdpi.com/journal/medicines  *Instructions: 1. Utilize your selected article that answers your PICO questions 2. In the article, identify the following components of the research process.  Highlight, underline or bracket, on the article, each component listed with the corresponding number from this worksheet.  If any component is missing, make a

Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions. General

Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions. General Instructions Electronic health records (EHRs) provide a database for an individual’s healthcare data during healthcare encounters and the ability to exchange health information electronically. Consider an EHR with which you

You deserve a bonus!

Subscribe and get regular bonuses and discounts.