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Exam (elaborations)

University of Phoenix SOAP Note Reflection- Craig Harris 2027

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University of Phoenix SOAP Note Reflection- Craig Harris 2027

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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

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