I completed the note with the portions provided in the VR lab.**** next to info provided in lab, need Assessment and Plan

I completed the note with the portions provided in the VR lab.

**** next to info provided in lab, need Assessment and Plan portions completed please.

Rubric is the same as the last assignment.

SOAP Note Write Up for VR Patient Jessica Dale

This assignment will demonstrate your ability to provide age-appropriate anticipatory guidance while recognizing the need to refer patients that are outside of the scope of practice of the family nurse practitioner. This will be demonstrated by completing a SOAP note based on a patient Jessica Dale seen in Unit 4 in the VR platform.

Write-ups

The SOAP note serves several purposes:

1. It is an important reference document that provides concise information about a patient’s history and exam findings at the time of patient visit.

2. It outlines a plan for addressing the issues which prompted the office visit. This information should be presented logically and prominently features all of the data that’s immediately relevant to the patient’s condition.

3. It is a means of communicating information to all providers involved in the care of a particular patient.

4. It allows the NP student to demonstrate their ability to accumulate historical and examination-based information, use their medical knowledge, and derive a logical plan of care.

Knowing what to include and what to leave out will largely depend on experience and your understanding of illness and pathophysiology. If, for example, you were unaware that chest pain is commonly associated with coronary artery disease, you would be unlikely to mention other coronary risk factors when writing the history. As you gain experience, your write-ups will become increasingly focused. You can accelerate the process by actively seeking feedback about all the SOAP notes you create and reading those written by more experienced practitioners.

The core aspects of the SOAP note are described in detail below.

For ease of learning, a 
SOAP note template has been provided. This assignment requires proper citation and referencing because this is an academic paper. 

S: Subjective information. Everything the patient tells you. This includes several areas, including the chief complaint (CC), the history of present illness (HPI), medical history, surgical history, family history, social history, medications, allergies, and other information gathered from the patient. A commonly used mnemonic to explore the core elements of the history of present illness (HPI) is OLD CARTS, which includes: Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments, and Severity.

O: Objective is what you see, hear, feel or smell. Your physical exam, including vital signs.

A: Assessment/your differentials

P: Plan of care including health promotion and disease prevention for the patient related to their age and gender.

If there are any questions, please contact your instructor. 

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

Exam Content 1. Top of Form As a program manager, you must establish practices that’ll best serve the projects you don’t directly oversee and strategize ways

Exam Content 1. Top of Form As a program manager, you must establish practices that’ll best serve the projects you don’t directly oversee and strategize ways to streamline organizational processes. You will use skills like project coordination to help you organize stakeholders and project team members, affirm their roles and responsibilities,

Neurotransmitter TableNeurotransmitter

Neurotransmitter Table Neuro transmitter Receptor Subtype Location/Function/Effects/symptoms of excess or deficit if applicable Distribution (ie: CNS/PNS, GI, vascular) Drug classes that target this neurotransmitter or receptor Specific medications that target this neurotransmitter or receptor Glutamate AMPA NMDA GABA GABA a GABA b Serotonin 5HT 5HT 1a 5HT 1B 5HT 1d

W6 Weekly Research Assignment Social Network Analysis

W6 Weekly Research Assignment Social Network Analysis Let’s try some social network analysis tools.  Download a social network analysis application. Here are some examples:  Note: There can be difficulties with regard to the Operating System you are using  Option 1  SocioViz (especially for twitter):   TouchGraph SEO Browser     Generate or find

Some research projects use an inverted pyramid data-collection strategy, with broad, quantitative measures gathered from a large population on top, narrowing

Some research projects use an inverted pyramid data-collection strategy, with broad, quantitative measures gathered from a large population on top, narrowing to more intensive qualitative measures (focus groups, individual interviews) with a smaller subset of the population at the bottom.  Can you imagine applying this approach to your Research Project?