NURS 612 SOAP NOTE 2022 UPDATE
Maryville University Of St. Louis
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Class notes
NURS 612 SOAP NOTE ASSIGNMENT 3.3 EENT DOCUMENTATION
Maryville University Of St. Louis
NURS 612 SOAP NOTE 2022 UPDATE
____________________________ Subjective Objective Assessment (diagnosis [primary and differential diagnosis]) Plan (treatment, education, and follow-up plan) Lani Doloroso Chief Complaint What brought you here today…(e.g. headache) Sinus Infection, headache, and sinus pressure History of Present Illness Chronological order of events, state of health before the onset of CC, must include OLD CARTS in paragraph form An onset Middle age Caucasian female patient came to the c...
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