Exam (elaborations)
REGIS NU650/NU 650 Week 15 Final Exam Late Spring April 2022 (100% Graded)
- Course
- Institution
REGIS NU650/NU 650 Week 15 Final Exam Late Spring April 2022 (100% Graded)
[Show more]
Seller
Follow
academicexcellence
Reviews received
Content preview
Guide for SOAP Notes – updated 6/13S: Subjective information - Patient description and chief complaint, HX of present
illness (how long they have been sick), 7 critical characteristics (all that apply):
Location
Character or Quality
Quantity or Severity (1-10)
Timing
Setting
Aggravating or Relieving Factors
Associated Factors (ROS – head to toe review of systems – with a focus on the chief
complaint)
Ask about food & fluid intake,
past medical hx, significant family hx, sick contacts & recent travel (if appropriate),
tobacco, ETOH, drugs, immunizations (up to date), medications (RX, OTC, herbal),
allergies, sexually active, contraception use, LMP & last pap (if female patient), any other
concerns or complaints
O: Physical Assessment
General Survey – ie: obese female, fatigued, flat affect, NAD
ie: alert, friendly, interactive, well appearing black male, NAD
ie: white female, tearful, sad, pale, unkempt, mild distress
Exam: (Focused exam should always include eyes (look at sclera and pupils), mouth
(look at mucosa and throat), neck (check nodes), lungs and heart (lungs sounds and
listen for murmur)
Vital signs: BP, HR, Resp, Temp
(Keep exam focused based on subjective data)
Head
Eyes
Ears
Nose
Mouth/throat
Neck
Lungs
Heart
Abd
Genitalia
Musculoskeletal
Neuro
Differential Diagnosis: (list differentials 2 - 3)
A: Diagnosis –
P: Plan – labs, diagnostic tests, prescriptions, plan of action, instructions & follow-up
This study source was downloaded by 100000804166229 from CourseHero.com on 04-18-2022 06:45:11 GMT -05:00
https://www.coursehero.com/file/94064437/SOAP-guide-2013-1doc/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller academicexcellence. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
Exam (elaborations) ·
SPeD SFPC Terms/Concepts Exam Questions And 100% Correct Answers
