Nursing > SOAP NOTE > Walden University - NURSING: NURS6512 Health Assessment Week 9 discussion: SOAP NOTE Case Study #3. (All)
SOAP NOTE Case Study #3 Patient Initials: __MH___ Age: _33____ Gender: __F____ SUBJECTIVE DATA: Chief Complaint (CC): Drooping on the right side of face History of Present Illness (H... PI): MH is a 33-year-old Caucasian female who presents today with right side facial drooping. She says that she noticed it when she woke up this morning. She says that her right eye has been watering constantly, and that she can’t stop drooling out of the right side of her mouth. She has no pain. Medications: 1.) Multivitamin daily 2.) Ibuprofen 200mg-2 PO as needed 3.) Tylenol 325mg-2 PO every 4 hours as needed 4.) Valtrex 500mg – PO 3 x daily (for genital herpes outbreak) Allergies: NKA Past Medical History (PMH): 1.) Asthma – when she was a child 2.) Genital herpes- 2010 Past Surgical History (PSH): 1.) Cholecystectomy 2000 2.) Wisdom teeth extraction 1990 Sexual/Reproductive History: Heterosexual G1P1A0 Menarche age 13, cycles q 28-30, flow: 5-6 days. Mild dysmenorrhea; responds to ibuprofen. Last PAP 2 years ago and normal. Personal/Social History: She drinks occasionally; denied denies smoking or illicit drug use. Immunization History: Her immunizations are up to date. She received the influenza vaccine last October, and had a tetanus shot two years ago when she cut her arm on a piece of metal. Significant Family History: One brothers with hypertension, dx at age 50. She has one son in her 20s, healthy, living at home. Lifestyle: She is divorced and lives alone with her daughter in a nice neighborhood with a low crime rate. She does not exercise daily but says she takes her dog for a short walk daily. She has a primary care nurse practitioner provider and goes for her yearly checkups and when she is sick. She had a PAP smear done two years ago. She has not had a mammogram, but says she does monthly self-exams. She has a healthy diet and eating pattern. She has a good support system composed of family and friends. Review of Systems: [Show More]
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Nursing> SOAP NOTE > Shadow Health NUR 509 SOAP Note – CHEST PAIN. (Chamberlain) Solutions Guide (All)
Patient Information: Brian Foster, 58 yo Male. Presenting with recent episode of chest pain. S. CC: Patient states intermittent chest pain that is tight and uncomfortable. HPI: Onset: Earlier in...
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Nursing> SOAP NOTE > SOAP NOTE 2 Emily Green (I-Human Patient) Case 2021| Ultimate Guide for Grade A+ (All)
SOAP NOTE 2 Emily Green (I-Human Patient) Case 2021| Ultimate Guide for Grade A+| A 22-year-old female college student presented to the clinic setting today unaccompanied. The patient states she has...
By Quiz Merchant , Uploaded: Jul 19, 2021
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Nursing> SOAP NOTE > Brian Foster SOAP v2 SHADOW HEALTH LATEST HEALTH ASSESSMENT 100% CORRECT (All)
Brian Foster SOAP v2HEALTH ASSESSMENT Brian Foster is a 58-year-old man experiencing a change of status. Students determine the seriousness of his complaint and take a relevant health history. Studen...
By STUDY-GUIDENOTES , Uploaded: Apr 21, 2021
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Nursing> SOAP NOTE > Walden University - NURSING: NURS6512 Health Assessment Week 8 discussion: SOAP NOTE Case Study Ankle Pain. Graded A. SOAP NOTE (All)
SOAP NOTE Ankle Pain Patient Initials: __MH___ Age: _46____ Gender: __F____ SUBJECTIVE DATA: Chief Complaint (CC): Ankle pain bilaterally History of Present Illness (HPI): MH is a 46-y...
By QuizMaster , Uploaded: Jul 29, 2020
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Nursing> SOAP NOTE > NR509-SOAP-NOTE -Brian Foster" SHADOW HEALTH 2021 (All)
NR509-SOAP-NOTE -Brian Foster" SHADOW HEALTH 2021
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Nursing> SOAP NOTE > (solved) iHuman SOAP Damian Henderson Abd Pain. (All)
iHuman SOAP Damian Henderson Abd Pain CC: “abdominal painx 8 hrs” HPI: Mr Henderson is a 22 yo male who presents with diffuse non-radiating umbilical pain 6/10 which started 8 hrs ago. Pain was rep...
By D.M.M , Uploaded: Jul 31, 2021
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Nursing> SOAP NOTE > SOAP NOTE – Comprehensive Assessment – Tina Jones – Shadow Health Clinic – Ryan Kent (All)
SOAP NOTE – Comprehensive Assessment – Tina Jones – Shadow Health Clinic – Ryan Kent SUBJECTIVE: Chief complaint (CC): “I came in because I'm required to have a recent physical exam for the health...
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Nursing> SOAP NOTE > SOAP Note Format – CHEST PAIN (All)
SOAP Note Format – CHEST PAIN 1/24/18 Pre-Brief: This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of chest pain in a non-emergency sett...
By Nutmegs , Uploaded: Nov 16, 2021
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Nursing> SOAP NOTE > Tina jones (T.J). SOAP Note Template. Contains Subjective informations; History of Present Illness (HPI); Current Medications; Past Medical History (PMHx); Family History (Fam Hx); Review of Systems (ROS); (All)
SOAP Note Template Initials: T.J Age: 28 years old Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88 kg 139/ 87 82 16 98.9 99% Choose an item. Medication: Penicillin (Caus...
By QuizMaster , Uploaded: Aug 18, 2020
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Nursing> SOAP NOTE > Walden University - NURS 6512_SOAP Week4. Chief Complaint (CC): Annual physical and multiple hard red bumps on my chest and Annual physical and my psoriasis. All Parts Complete (All)
SLIDE 2: Patient Initials: __MP_____ Age: ___68____ Gender: _M SUBJECTIVE DATA: Chief Complaint (CC): Annual physical and multiple hard red bumps on my chest History of Present Ill...
By QuizMaster , Uploaded: Jul 29, 2020
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