J.L. SOAP NOTE Subjective J.L. is a 63-year-old white female who presented to the ER with right lower extremity pain and swelling with subsequent changes to the skin‚ including formation of bullous ulcers. She had blistering over the past four days that started to enlarge. The doctor prescribed her Bactrim. Erythema‚ swelling‚ and pain progressively got worse. She denies any fever or chills. PMH: COPD‚ Hypertension‚ Diabetes mellitus‚ Osteoporosis‚ Fibromyalgia‚ Osteoarthritis‚ Morbid obesity
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Patient Information | NAME: | Sharon Doe | Today’s DATE: | _11__ / 29_ / 2012_ | CLIENT: | * Established Client | * New Client | GENDER: | * Male | X Female | MEDICAL RECORD #: | | Hispanic‚ Latino‚ or Spanish Origin | X Non- Hispanic | * Hispanic: (origin: ) | RACE: | * American Indian or Alaska Native | * Asian | X Black/ African American | * Native Hawaiian / Other Pacific Islander | * White
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SOAP Note—Hair‚ Skin‚ Nails Subjective: Mark W. comes to the clinic today with complaint of “I have an itchy red rash that I think is from Poison Oak.” Patient states that rash is on both legs from the knees down to feet; reports that it developed approx. 24 hours after a hiking trip last weekend. Denies pain. Denies nausea‚ vomiting‚ fever. Reports “itching‚ burning legs and feet.” Patient reports having had this reaction to Poison Oak twice before. No other allergies reported. Reports
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overnight. Pt. complains of… Pt denies HA‚ changes in vision‚ CP‚ Palpitations‚ SOB‚ Nausea‚ Vomiting‚ Diarrhea‚ Constipation‚ bowel movement and consistency. Tolerated PO meds well. Last bowel movement Meds: Antibiotics w: day # Labs: Also note which labs are pending and any significant changes or trends with arrows. Cl- BUN Na K+ HCO3 Cr WBC Hgb Hct PT Glu Plt Pulse: Resp: BP (w/ range): I/O:: O: Vitals: Tmax: Tcurr: Glucose (QAC/HS) | | | | | Pulse
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SM 420 Therapeutic Modalities Fall 2012 EXTRA CREDIT PROJECT This extra credit project is to replace your lowest exam score for the semester…. Not your final exam score. You are to compose a paper on a therapeutic modality. Ideally it should be one we have covered in class. Be sure to check with me about your specific topic ****If you wish to research an additional modality‚ please talk with me first. The paper is voluntary and there will be no points deducted from any exam. However is your
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The SOAP note is the accepted method of medical record entries for the military. S: (subjective) - What the patient tells you. O: (objective) - Physical findings of the exam. A: (assessment) - Your interpretation of the patients condition. P: (plan) - Includes the following: 1. Medical treatment: includes use of meds‚ use of bandages‚ etc. 2. Additional diagnostics: which if any test which still might be needed. X-ray MRI ect.. 3. Special instructions‚ handouts‚ use
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Five Year Old ’s Development As a new parent you always seem to wonder if your child is on the right track of development. Are they walking at the right time? Are they going through potty training at a normal time? Are they reading and writing at a normal age? Each child is different and will develop at their own speed. Some might catch on quickly to tying their shoes‚ while others might take a little while longer. Here are a some general milestones children in the five year old age group
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Axia Material SOAP Note Create three SOAP notes using correct medical terminology from the patient information in Appendix C. * Organize the information correctly * Format the SOAP notes * Revise language where necessary Post your paper as a Microsoft® Word attachment. Patient One – Chapter 6 Soap Notes Date: | 09/26/2011 | Chart: | 001 | Age: | 22 | Name: | Jane Doe | Date of Birth: | 02/11/89 | Sex: | F | S: | Patient has sever lower back pain that
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SOAP Note Create three SOAP notes using correct medical terminology from the patient information in Appendix C. • Organize the information correctly • Format the SOAP notes • Revise language where necessary Post your paper as a Microsoft® Word attachment. Patient One – Chapter 6 Soap Notes Date: Sat‚ Aug 27‚ 2011 04:05 pm Chart #: 1234-567-1234 Age: 22 Name: Susan Smith Date of Birth: 03/11/89 Sex : F S: Patient says she has been having acute back discomfort over the
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depressive episodes in adulthood. It is unknown why females tend to experience depression more than males but hormonal changes and the onset of the menstrual cycle or pregnancy are big culprits. Development indicators of depression in 12-17 year olds. In 2009 8% of adolescents between the ages of 12-17 years old experienced a Major Depressive Episode (MDE). Between 2004-2009‚ the occurrence of MDE among the youth was twice as high in females (12%-13%) as with males. (4%-5%). The percentage
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