Discussion – Week 8 Focused SOAP Note/case study Patient Information Initials: C.M.M, Age: 46, Sex: Female, Race: White S CC: “Pain in both my ankles” HPI: CMM, a 46-year old white female reports pain in both of her ankles that started two days ago. She is more concerned about her right ankle and she describes […]
Week 8 dicussion on Knee Pain Focused SOAP notes for a patient with ankle pain S CC: Ankle Pain HPI: This patient is a 15-year-old male who presents with bilateral ankle pain with a clicking noise in one or both knees sometimes. The patient describes a catching sensation under the patella. PMH: Twisted right ankle […]
6551 WK 3 SOAP Gynecologic Health Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES : Subjective: What details did the patient provide regarding her personal and […]
Gastroesophageal Reflux Disease Soap Note Patient: Mr. T.P Age: 83 Gender: F Marital Status: Married Race: Hispanic Source: Patient Subjective: CC: “I have heartburn and abdominal pain.” HPI: Patient reports pain to the midepigastric area. The pain began one day ago, is described as burning, gnawing, rated as 7/10 at the onset, now 1-2/10. Pt […]
SOAP NOTE: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) Subjective Data Chief Complaint (CC): “I have been experiencing increasing shortness of breath over the past three months.” HPI: 70-year-old woman presents to the hospital with c/o increasing shortness of breath over the past three months. The patient reports that he used to experience SOB with physical exertion, […]
SOAP NOTE, assignment Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas. […]