(Solved) NU650 Week 5 Assignment Soap Note

How I Completed this Assignment Since I am not in the clinical setting I spoke with my sister about her vestibular migraines. I wrote up the SOAP not as if she was coming in for a physical and also need blood work done due the use of Topamax. Then the diagnosis and plan were written up as if assessment were taking place prior to diagnosis and treatment of vestibular migraines. SUBJECTIVE DATA IDENTIFYING DATA Initials: A. Age: 30 Race: Caucasian Gender: Female Marital Status: Single Source: Patient – appears to be a reliable source of information, alert and orients to person, place, time, and situation; ready recall and understanding of medical HX CHIEF COMPLAINT : “I am here for my yearly physical. I also need to have blood work done because I take Topamax for vestibular migraines” HISTORY OF PRESENT ILLNESS: Onset Patient distinctly remembers her first episode. “I was a senior in college (2009)