Exam (elaborations)
Brian Foster SOAP Note Comprehensive
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Brian Foster SOAP Note Comprehensive SOAP Note Greeting Brian Foster 58 yr Cucasian S: • CC: “I have pain/swelling/itching in my leg/ear/etc….” o EMPATHY!!!!!! • HPI: o Onset: o Location: o Duration: o Characteristics/description: o Aggravating factors: o Relieving factors: o Treatment: o Current pain/pain at its worst (pain scale) o EDUCATION!!!! • Current Meds: o What? o Why? o Dose o Frequency o Started when? o Last time taken o Help the diagnosis? o Any vitamins? o Supplements? o Herbs? o EDUCATION!!!!! And “Thank you for telling me about your meds…” • Allergies: o Meds o Environmental o Latex o What happens? o When discovered? o How treated? • PMH:
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Written for
- Institution
- Chamberlain College Of Nursing
- Module
- Brian Foster SOAP Note Comprehensive (BRIANFOSTERSOAPNOTECOMPREHENSIVE)
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- Uploaded on
- March 7, 2021
- Number of pages
- 12
- Written in
- 2020/2021
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- Exam (elaborations)
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brian foster soap note comprehensive soap note greeting brian foster 58 yr cucasian s • cc “i have painswellingitching in my legearetc…” o empathy • hpi o onset o location o durat
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