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University of Phoenix SOAP Note
Reflection- Craig Harris 2027
SOAP Note Reflection- Craig Harris
University of Phoenix
NRP 571
SOAP Note Reflection- Craig Harris
In this paper we will discuss the SOAP note that was developed for the patient Craig
Harris. We will identify five open-ended questions that were asked during the history of present
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illness portion and why these questions were important to his diagnosis. Rationales will be given
for three separate exams preformed during the physical examination portion Additionally, a
review and summary of two articles will be discussed regarding the patients two diagnoses.
Lastly, potential barriers that Mr. Harris may encounter when it comes to his healthcare will be
identified. Solutions to these barriers will be discussed and we will briefly examine how the
family nurse practitioner (FNP) can help Mr. Harries obtain the best quality care possible.
Five Open-Ended Questions with Rationales for HPI
Many questions should be asked to Mr. Harris regarding his presenting complaints in
order to narrow down his diagnosis. Asking the patient to describe, in detail, his urinary pattern
and experience during both the day and the night is helpful. Including difficulty starting and/or
stopping of his stream, strength of stream, dribbling, frequency, increased urination at night, and
the inability to empty his bladder are all important aspects of his urinary health that must be
addressed (Bickley et al., 2017). Pertinent positives to benign prostatic hyperplasia include
nocturia, weak urinary stream, difficulty starting and stopping the urinary stream, and increase in
voiding frequency (Bickley et al., 2017). Pertinent negatives would be the presence of blood in
the urine, pain on urination, or the presence of penile discharge which could all indicate other
sources, not BPH.
Asking Mr. Harris to describe his current bowel pattern and bowel regimen can help
identify what his perception of constipation is and what remedies he currently uses for
constipation. A pertinent negative would be ensuring he is not abusing laxatives, as it can cause
refractory constipation. Knowing his baseline bowel pattern is important when treating his
constipation (Basson, 2020). Asking Mr. Harris to describe what his stool looks like can help
University of Phoenix SOAP Note
Reflection- Craig Harris 2027
SOAP Note Reflection- Craig Harris
University of Phoenix
NRP 571
SOAP Note Reflection- Craig Harris
In this paper we will discuss the SOAP note that was developed for the patient Craig
Harris. We will identify five open-ended questions that were asked during the history of present
, 2
illness portion and why these questions were important to his diagnosis. Rationales will be given
for three separate exams preformed during the physical examination portion Additionally, a
review and summary of two articles will be discussed regarding the patients two diagnoses.
Lastly, potential barriers that Mr. Harris may encounter when it comes to his healthcare will be
identified. Solutions to these barriers will be discussed and we will briefly examine how the
family nurse practitioner (FNP) can help Mr. Harries obtain the best quality care possible.
Five Open-Ended Questions with Rationales for HPI
Many questions should be asked to Mr. Harris regarding his presenting complaints in
order to narrow down his diagnosis. Asking the patient to describe, in detail, his urinary pattern
and experience during both the day and the night is helpful. Including difficulty starting and/or
stopping of his stream, strength of stream, dribbling, frequency, increased urination at night, and
the inability to empty his bladder are all important aspects of his urinary health that must be
addressed (Bickley et al., 2017). Pertinent positives to benign prostatic hyperplasia include
nocturia, weak urinary stream, difficulty starting and stopping the urinary stream, and increase in
voiding frequency (Bickley et al., 2017). Pertinent negatives would be the presence of blood in
the urine, pain on urination, or the presence of penile discharge which could all indicate other
sources, not BPH.
Asking Mr. Harris to describe his current bowel pattern and bowel regimen can help
identify what his perception of constipation is and what remedies he currently uses for
constipation. A pertinent negative would be ensuring he is not abusing laxatives, as it can cause
refractory constipation. Knowing his baseline bowel pattern is important when treating his
constipation (Basson, 2020). Asking Mr. Harris to describe what his stool looks like can help