Week 2 soap note template Study guides, Class notes & Summaries

Episodic/Focused SOAP Note Template Week 5/Case Study D.M. is a 52-year-old African American, G2T1P0A1L1 female presenting to the clinic with complaints of abnormal bleeding and pelvic pressure. She works full-time as a receptionist for Gunn Honda. Medical history includes Grave disease, anemia, CAD, hypertension, obesity, and osteopenia. Surgical history includes D&C, tubal ligation, endometrial biopsy (in office). She currently takes metoprolol, aspirin, progestin mini pills, and iron. S...

NURS 6512 Week 5 Episodic/Focused SOAP Note Template NURS 6512 Week 5 Episodic/Focused SOAP Note Template Completed Exam Guide NURS 6512 Week 5 Episodic/Focused SOAP Note Template Patient Information: L., 20, F, Caucasian SUBJECTIVE. CC: “I have been having sore throat for three days, and I also have decreased appetite, headache, and pain with swallowing.” HPI: Ms. L is a 20-year-old female college student who presents with sore throat for three days, with additional decreased ap...

SOAP Note Template Initials: tj Age: 28 Gender: female Height Weight BP HR RR Temp SPO2 Pain Rating Allergies (and reaction) 170 88 Click or tap here to ente r text. Clic k or tap here to ente r text. Clic k or tap her e to ent er text. Click or tap here to enter text. Click or tap here to enter text. Medication: penicillin-hives Food: none Environment: : Cat dander- sneezes, a...

STUDY GUIDE

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 89kg 140/ 81 89 20 98.5 F 97% Medica tion: Penicillin (rash/hives) Food: none Environment: Cats History of Present Illness (HPI) Chief Complaint (CC) “chest tightness” CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has more than one complaint. For example: If ...