Patient initials tj - Samenvattingen en Aantekeningen

Week 9 Shadow Health Comprehensive SOAP Note Template Patient Initials: TJ Age: 28 Gender: Female SUBJECTIVE DATA: Chief Complaint (CC): "I came in because I'm required to have a recent physical exam for the health insurance at my new job." History of Present Illness (HPI): Presents for a general physical examination in preparation for her new position as an accounting clerk at Smith, Stevens, Silver & Company. She denies having any serious issues. She visited a gynecologist for ...

Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Rating: Allergies (and reaction) 170 cm 88 kg 139/ 87 82 bpm 16 98.9 99% Medication: Penicillin- rash/ hives Food: no known allergies Environment: Cat dander and dust- cat dander and dust- rhinorrhea, pruritic and periorbital edema, wheezing History of Present Illness (HPI) Chief Complaint (CC) “Headache & neck symptoms” CC is a BRIEF statement identifying why the patient is here - in the patient’s own words...

NR 509 WEEK 2 SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Ratingwh 0/10 Allergies (and reaction) 170 cm 89 kg 140/ 81 89 20 98.5 97 Medica tion: Penicillin – rash/hives Food: n/a Environment: Cats – Sneezing, itching, asthma attacks, rhinorrhea History of Present Illness (HPI) Chief Complaint (CC) breathing problems, chest tightness, and wheezing CC is a BRIEF statement identifying why the patient is here - in the patie...

NR-509 Week 4 Cardiovascular SOAP Note (RATED A) SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance

NR 509 Week 6 Pediatric SOAP Note (100% correct) SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance

NR 509 Week 6 Pediatric SOAP Note (100% correct) SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...

SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170cm 88kg 139/ 87 82 16 98.9F 99% Medication: Penicillin (rash/ hives) Food: none Environment: Cats, dust (asthma flares up, itchy, watery eyes, sneezing) History of Present Illness (HPI) Chief Complaint (CC) Headache CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has ...