MDC Patient with Generalized Anxiety Disorder SOAP Note Nursing Assignment Help

Submit 1 Mini-SOAP note on a patient that you saw in clinic this week.

Demographic Data 

  • Patient initial (one initial only), age, and gender must be Health Insurance Portability and Accountability (HIPPA) compliant. 

Subjective 

  • Chief Complaint (CC) 
  • History of Present Illness (HPI)?(symptoms) in paragraph format 
  • Past Medical History (PMH):?Current problem-focused and document pertinent information only. 
  • Current Medications:  
  • Medication Allergies: 
  • Social History:?For current problem-focused and document only pertinent information only.  
  • Family History: For current problem-focused and document only pertinent information only.  
  • Review of Systems (ROS) as appropriate:  

Objective 

  • Vital signs 
  • Mental Status Exam 
  • Physical findings listed by body systems, not paragraph form. 
  • Patient Health Questionnaires, Screenings, and the results (PHQ-9, GAD 7, suicidal) 

Assessment (Diagnosis/ICD10 Code) 

  • Include all diagnoses that apply to this visit. 
  • Include one differential diagnosis. 

Plan 

  • Dx?Plan (lab, x-ray) 
  • Tx?Plan: (meds) 
  • Pt. Education, including specific medication teaching points.? ?  
  • Safety Plan? ? ? ? 
  • Referral/Follow-up 

*Based on population focus, some additional details may be required by faculty Top of Form 

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

This assignment requires you to conduct the Strengths (S), Nursing Assignment Help

This assignment requires you to conduct the Strengths (S), Weaknesses (W), Opportunities (O), and Threats (T) SWOT Analysis.  As the planner for your health organization (selected by you), you will need to prepare a 3-page document addressing your organization’s internal and external environment to include, but not limited to, forces/trends,

Unit 3 focused on both the nervous and endocrine systems. Nursing Assignment Help

Unit 3 focused on both the nervous and endocrine systems. Both are essential communication systems for the body and play vital roles in homeostatic balance. The endocrine system produces chemical messengers that travel throughout the body via the circulatory system and interact with receptor cells. If the interaction cannot occur,

Aubre R. presents as a new patient to your practice having Nursing Assignment Help

Aubre R. presents as a new patient to your practice having recently relocated from rural Tennessee. She is 68 years old and complains of irritable bowel syndrome (IBS) with abdominal cramping and frequent diarrhea with occasional constipation. She has a history of domestic violence with resultant anxiety requiring inpatient hospitalization

To Prepare Review the interactive media piece for Nursing Assignment Help

To Prepare  Review the interactive media piece for Alzheimer’s Disease.  (76 Year Old Iranian Male) Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You