Must be on Geriatric patientSOAP NOTE TEMPLATE Review the Rubric for more GuidanceDemographics

Must be on Geriatric patient

SOAP NOTE TEMPLATE

Review the Rubric for more Guidance

Demographics

Chief Complaint (Reason for seeking health care)

History of Present Illness (HPI)

Allergies

Review of Systems (ROS)

General:

HEENT:

Neck:

Lungs:

Cardio

Breast:

GI:

M/F genital:

GU:

Neuro

Musculo:

Activity:

Psychosocial:

Derm:

Nutrition:

Sleep/Rest:

LMP:

STI Hx:

Vital Signs

Labs

Medications

Past Medical History

Past Surgical History

Family History

Social History

Health Maintenance/ Screenings

Physical Examination

General:

HEENT:

Neck:

Lungs:

Cardio

Breast:

GI:

M/F genital:

GU:

Neuro

Musculo:

Activity:

Psychosocial:

Derm:

Diagnosis

Differential Diagnosis

ICD 10 Coding

Pharmacologic treatment plan

Diagnostic/Lab Testing

Education

Anticipatory Guidance

Follow up plan

Prescription

See Below (scroll down)

References

Grammar

EA#: 101010101 STU Clinic LIC# 10000000

Tel: (000) 555-1234 FAX: (000) 555-12222

Patient Name: (Initials)______________________________ Age ___________

Date: _______________

RX ______________________________________

SIG:

Dispense: ___________ Refill: _________________

No Substitution

Signature:____________________________________________________________

Signature (with appropriate credentials):_____________________________________

References (must use current evidence-based guidelines used to guide the care [Mandatory])

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

Criterion 1Design evidence-based interventions to mitigate population health risks.

Criterion 1 Design evidence-based interventions to mitigate population health risks. Distinguished Designs evidence-based interventions to mitigate population health risks, providing support for why these are the most appropriate interventions. Proficient Designs evidence-based interventions to mitigate population health risks. Basic Designs interventions, though they may not be supported by evidence or

  This week’s discussion is a two folds discussion. First, explain the role of the Psychiatric Mental Health Nurse Practitioner as it relates to the

  This week’s discussion is a two folds discussion. First, explain the role of the Psychiatric Mental Health Nurse Practitioner as it relates to the scope of psychotherapy. Second, explain how this week’s discussion aligns with the following APNA standard: Standard 5G: Therapeutic Relationship: Psychiatric-mental health registered nurse uses therapeutic relationship