DON’T USE CHATGPT, OR COPY AND PASTE ANYTHING.  I AM ASKING FOR HELP, I CAN COPY AND PASTE MYSELF. Submit 1 Mini-SOAP note on a patient that you

DON’T USE CHATGPT, OR COPY AND PASTE ANYTHING. 

I AM ASKING FOR HELP, I CAN COPY AND PASTE MYSELF. 

Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit as a Word
Document. See example template below for required format.

Review the rubric for more information on how your assignment will be graded.

Demographic Data

• Age, and gender (must be HIPAA compliant)

Subjective

• Chief Complaint (CC) unless an Annual Physical Exam (APE)
• History of Present Illness (HPI) in paragraph form (remember OLDCART: Onset, Location,

Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment)
• Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies,

immunizations, and preventative health maintenance as applicable
• Family Hx: As applicable
• Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc.
• Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap,

vaccines, colonoscopy)

Objective

• Vital signs
• Physical findings listed by body systems, not paragraph form

Assessment (Diagnosis/ICD10 Code)

• Include all diagnoses that apply for this visit

Plan

• Dx Plan (lab, x-ray)
• Tx Plan: (meds)
• Pt. Education, including specific medication teaching points
• Referral/Follow-up
• Health maintenance (including when screenings, immunizations, etc., are next due):

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

“Variant characteristics of culture” include nationality, race, age, color, religious affiliation, educational status, socioeconomic status,

“Variant characteristics of culture” include nationality, race, age, color, religious affiliation, educational status, socioeconomic status, occupation, military experience, political beliefs, urban versus rural residence, enclave identity, marital status, parental status, sexual orientation, gender issues, physical characteristics, immigration status, and length of time away from the country of origin. Reflect on

smart goals, work on setting goals for yourself using the SMART method. list a minimum of five professional goals that you would like to

smart goals,  work on setting goals for yourself using the SMART method. list a minimum of five professional goals that you would like to accomplish during the clinical experience in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic,

Describe the roles and responsibilities of the APRN when prescribing medication. Describe the method used to determine what drug therapy to

Describe the roles and responsibilities of the APRN when prescribing medication. Describe the method used to determine what drug therapy to prescribe? Discuss responsibilities for patient education and teaching based on the prescribed therapy.  Discuss Schedule drugs and prescribing restrictions for each scheduled drug.  2 academic sources cited  Arcangelo, P.