Nursing

Navigating Headache Challenges: Episodic/Focused SOAP Note

Navigating Headache Challenges: A Comprehensive Analysis through Episodic/Focused SOAP Note CASE STUDY: A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw. ASSIGNMENT: -Use the Episodic/Focused SOAP Template and create an episodic/focused …

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Focused SOAP Note Template

Focused SOAP Note Template   Patient Information: Initials, Age, Sex, Race S. CC (chief complaint): A brief statement identifying why the patient is here, stated in the patient’s own words (for instance “headache,” not “bad headache for 3 days”). HPI: This is the symptom analysis section of your note. Thorough documentation in this section is …

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Weight Management Strategies: Focused SOAP Note

Weight Management Strategies for Sedentary Professionals: A Case Study Approach   Certain patient groups may have specific concerns related to their unique demographics. Conditions pertaining to men’s or women’s health, older adults, college students, LGBTQ individuals, athletes, those with distinct cultural beliefs, or individuals undergoing palliative or end-of-life care all fall within this category. It’s …

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Tension-Type Headache in a 20-Year-Old Male: Episodic/Focused SOAP Note

Tension-Type Headache in a 20-Year-Old Male: Comprehensive Patient Assessment and Diagnosis CASE STUDY: A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw. ASSIGNMENT: -Use the Episodic/Focused SOAP Template and create an episodic/focused …

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SOAP Note Analysis

SOAP Note Analysis Instructions Using evidence-based resources, answer the following questions and support your answers using current evidence from the literature: Analyze the Subjective Portion of the Note: List additional information that should be included in the documentation. Analyze the Objective Portion of the Note: List additional information that should be included in the documentation. …

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Problem-Based Assessment

Title: Documentation of Problem-Based Assessment of the Head, Ears, and Eyes. Purpose of Assignment: To learn the required components of documenting a problem-based subjective and objective assessment of the head, ears, and eyes and to identify abnormal findings. Course Competency: Demonstrate physical examination skills of the head, ears, and eyes, nose, mouth, neck, and regional …

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NUR776 SOAP NOTE FORMAT: THE HISTORY AND PHYSICAL (H & P)THE HISTORY AND PHYSICAL (H & P)

THE HISTORY AND PHYSICAL (H & P)   Format      I.Chief Complaint Why the patient came to the hospital Should be written in the patient’s own words   II.History of Present Illness (HPI) a chronologic account of the major problem for which the patient is seeking medical care according to Bates’ A Guide to …

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