Nr509 week 2 soap note Study guides, Class notes & Summaries

S: Subjective Information the patient or patient representative told you. Initials: JT Age: 28 years Gender: Female Height: 170cm Weight: 89kg BP: 140/81 HR: 89 Temp: 98.5 SPO2: 97% Pain (1-10): 0 Allergies Medication: Penicillin Food: No known allergy Environment: Cats History of Present Illness (HPI) 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 ...

NR 509 Week 2 SOAP Note

NR509 Week 2 SOAP N

Exam (elaborations) NR 509 WEEK 4 SOAP NOTE (NR509) SOAP Note Template Initials: BF Age: 58 Gender: Male Height Weight BP HR RR Temp SPO2 Pain Allergies 5’ 11 197lbs 146/ 90 104 19 36.7C 98% Medication: Codeine : reports causes nausea and vomiting Food: none Environment: none History of Present Illness (HPI) Chief Complaint (CC) Chest pain CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for...

Soap Notes: Asthma dx age 2.5 yrs old, Diabetes dx at 24yrs old,Denies surgical history, last hospital admission at 16 yrs old for asthma exacerbation. Reports all Immunization are current at this visit, Last Flu vaccine: declines at this time Last Tetanus booster: last year

NURSING MS NR509 -NR 509 SOAP Note Template Week 2

Exam (elaborations) NR511 WEEK 1-3 LECTURES Primary care is different than tertiary care. The types of problems that are solved in primary care are different than those seen in acute- or critical-care settings, which you may be used to as a bedside nurse. Upper respiratory infections, abdominal complaints, skin rashes, and vague somatic complaints are problems that are not often encountered in the hospital setting. Even chronic conditions present differently in primary care. HTN, CHF, ...

NR661 FNP Capstone Practicum 2 Course Week 8 Reflection Reflect over the eight weeks spent in each course and describe how the achievement of the course outcomes in that course prepared you to meet the selected MSN program outcome and the MSN Essential Student Response NR503 Program Outcome #1: Practice safe, high-quality advanced nursing care based on concepts and knowledge from nursing and related disciplines (MSN Essential I). MSN Essential I: Background for Practice from Sciences and Humanit...

SOAP Note Template Review of Systems (ROS): Address all body systems that may help rule in or out a differential diagnosis Check the box next to each positive symptom and provide additional details. Constitutional If patient denies all symptoms for this system, check here: Skin If patient denies all symptoms for this system, check here: HEENT If patient denies all symptoms for this system, check here: Fatigue Weakness Fever/Chills Weight Gain Weight Loss Trouble Sleeping ...