Episodic SOAP Note and
Reflection: Craig Harris 2027
updated
2027
, Episodic SOAP Note and Reflection: Craig Harris
First Name: Craig
Last Name: Harris
Gender: Male
Age: 81
Race: African American
Source of history: Patient- Mr. Craig Harris and his nursing home caregiver
Subjective Data:
Chief Complaint (CC):
Hesitancy in starting urinary stream, decreased force of the
urinary stream, post-voiding dribbling, nocturia, and LLQ pain.
History of Present Illness (HPI):
Mr. Harris is an 81-year-old African American presenting to the
clinic from a nursing home with complaints of LLQ abdominal
pain x1 month, hesitancy in starting urinary stream, decreased
force of the urinary stream, post-void dribbling and nocturia.
Mr. Harris reports that he doesn’t feel like he empties his
bladder with each urination and has had problems with constipation.
States his last bowel movement was one week ago. Denies fever.
Staff reports they aren’t sure if Mr. Harris is sexually active but it
does occur at the nursing home.
Allergies:
No Known Drug Allergies (NKDA) reported
Reflection: Craig Harris 2027
updated
2027
, Episodic SOAP Note and Reflection: Craig Harris
First Name: Craig
Last Name: Harris
Gender: Male
Age: 81
Race: African American
Source of history: Patient- Mr. Craig Harris and his nursing home caregiver
Subjective Data:
Chief Complaint (CC):
Hesitancy in starting urinary stream, decreased force of the
urinary stream, post-voiding dribbling, nocturia, and LLQ pain.
History of Present Illness (HPI):
Mr. Harris is an 81-year-old African American presenting to the
clinic from a nursing home with complaints of LLQ abdominal
pain x1 month, hesitancy in starting urinary stream, decreased
force of the urinary stream, post-void dribbling and nocturia.
Mr. Harris reports that he doesn’t feel like he empties his
bladder with each urination and has had problems with constipation.
States his last bowel movement was one week ago. Denies fever.
Staff reports they aren’t sure if Mr. Harris is sexually active but it
does occur at the nursing home.
Allergies:
No Known Drug Allergies (NKDA) reported
