*NURSING > SOAP NOTE > Tina jones (T.J) Neurology. SOAP Note Template. Contains Subjective informations; History of Present (All)
SOAP Note Template Initials: TJ/ address 9647 Jeffers St. Spring Hill Fl 34606 Age: 28 Gender: female Height Weight BP HR RR Temp SPO2 Pain Allergies 170 cm 88 kg 139/ 87 82 16 98.9 99% 3/10 ... Medication: Penicillin Food: Na Environment: Cats History of Present Illness (HPI) Chief Complaint (CC) Headaches and neck stiffness 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 the patient presents with cough and sore throat, identify which is the CC and which may be an associated symptom Onset 2 days ago Location Neck and head Duration 2 days Characteristics Head aches throbbing and neck stffness Aggravating Factors Car accidient two days ago Relieving Factors Tylenol Treatment Tylenol for pain Current Medications: Include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products. Medication (Rx, OTC, or Homeopathic) Dosage Frequency Length of UsedTime Reason for Use Proventil 2 puffs 2-3 time a week Since 2 years old Asthma Tylenol 500 mg 2 tabs every 6 hrs prn headaches Two days Headaches Proair Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text. Flexeril 10mg Q4 hrs prn 10days Muscle spasms Metformin 500mg 1 tab q 12 hours indefinately Diabetes Past Medical History (PMHx) – Includes but not limited to immunization status (note date of last tetanus for all adults), past major illnesses, hospitalizations, and surgeries. Depending on the CC, more info may be needed. References Include at least one evidence-based peer-reviewed journal article which relates to this case. Use the correct APA 6th edition formatting. Solomon, S., Eisnstein, A.(2019). Headache Unit, Montefiore Medical Center, Albert Einstein College of Medicine retrrived from https://www.brainline.org/article/headaches-after-head-injuries Staehler, R., Stiff Neck Causes, Symptoms, and Treatment, (2017). Spine Health retrieved from retrieved from https://www.spinehealth.com/conditions/neck-pain [Show More]
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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
$8
*NURSING> SOAP NOTE > Tina jones (T.J) . SOAP Note week 2. 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: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 89kg 140/ 81 89 20 98.5 F 97% Choose an item. Medication: Penicillin (rash/hives) F...
By QuizMaster , Uploaded: Aug 18, 2020
$7.5
*NURSING> SOAP NOTE > Tina jones (T.J) . SOAP Note week 3 Neuro. Contains Subjective informations; History of Present Illness (HPI); Current Medications; Past Medical History (PMHx); Family History (Fam Hx); Review of Systems (ROS). (All)
Tina jones (T.J) . SOAP Note week 3 Neuro. Contains Subjective informations; History of Present Illness (HPI); Current Medications; Past Medical History (PMHx); Family History (Fam Hx); Review of Syst...
By PROF , Uploaded: Jan 23, 2021
$7
*NURSING> SOAP NOTE > Chamberlain University_Tina jones -T.J- . SOAP Note Template Week 3 Neuro. 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 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170 cm 88 kg 139/ 87 82 16 98.9 F 99% 3/10 Medication: Penicillin-Rash/Hives Food: No k nown fo...
By QuizMaster , Uploaded: Mar 11, 2023
$9
*NURSING> SOAP NOTE > NRP 531Tom Walker, Episodic SOAP Note: Already graded A. (All)
Episodic SOAP Note: Tom Walker|NRP 531,Latest 2020 complete, Already graded A.
By Expert1 , Uploaded: Jul 18, 2020
$10
*NURSING> SOAP NOTE > NURS 112 SOAP Note Chest Pain Pennsylvania State University -Download To Score An A (All)
SOAP Note Chest Pain 1. Identifying data: Brain Foster is a 58-year-old Caucasian male. 2. Chief Complaint or Reason for Visit: he c/o having chest pain for 1 month. 3. History...
By Succeed , Uploaded: Aug 03, 2020
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Health Care> SOAP NOTE > SOAP Note: Cardiovascular Patient: Liam Fitzgerald SUBJECTIVE CC: “Routine follow up for his chronic conditions” (All)
HPI: Mr. Fitzgerald is a 66-year-old male who presents via telehealth for a routine follow up on his chronic heart failure. He provided verbal consent for this telehealth visit. Mr. Fitzgerald repor...
By STUDY-GUIDENOTES , Uploaded: Oct 05, 2022
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Health Care> SOAP NOTE > Caroline Casey SOAP (All)
Caroline Casey SOAP
By Ellen Ronald , Uploaded: Jul 29, 2022
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Health Care> SOAP NOTE > Episodic SOAP Note: Tom Walker|NRP 531,Latest 2019/ 2020 complete, Already graded A (All)
Running head: EPISODIC SOAP NOTE: TOM WALKER 1 Episodic SOAP Note: Tom Walker NRP 531 2021 Professor Sandra Brown EPISODIC SOAP NOTE: TOM WALKER 2 DOS: 4/15/2019 ID: Tom Walker (M) DOB: 6/28/73 (45) C...
By MARKALLAN , Uploaded: Jul 20, 2022
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*NURSING> SOAP NOTE > Episodic SOAP Note: Tom Walker|NRP 531,Latest 2020 complete, Already graded A (All)
Running head: EPISODIC SOAP NOTE: TOM WALKER 1 Episodic SOAP Note: Tom Walker NRP 531 2021 Professor Sandra Brown EPISODIC SOAP NOTE: TOM WALKER 2 DOS: 4/15/2019 ID: Tom Walker (M) DOB: 6/28/73 (45) C...
By Prof.Pierro , Uploaded: Jul 20, 2022
$9
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