Shadow Health Comprehensive SOAP Note Template Essay

Walden university

Course-6512N-48-Advanced Health Assessment

Week 9 busy week… please read all the announcements!

Welcome to Week 9! This past week we looked at the musculoskeletal system. This week, you will examine appropriate methods for assessing the cognition and the neurologic systems during your Discussion. See below for your case assignments. Shadow Health Comprehensive SOAP Note Template Essay

CASE STUDY 1: Headaches

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. Shadow Health Comprehensive SOAP Note Template Essay

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Case Study Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each. Shadow Health Comprehensive SOAP Note Template Essay

You also will complete the last assessment, Comprehensive (Head-to-Toe) Physical Assessment. Once again, you will conduct this assessment in the Digital Clinical Experience using the simulation tool, Shadow Health. Make sure to plan your time accordingly. Shadow Health Comprehensive SOAP Note Template Essay

DCE Comprehensive Physical Assessment

Episodic/Focused Note for Comprehensive Physical Assessment of Tina Jones (180 minutes).

Assignment 1: Case Study Assignment: Assessing Neurological Symptoms Shadow Health Comprehensive SOAP Note Template Essay

Assignment 2: Lab Assignment: Practice Assessment: Neurological Examination

Assignment 3: Digital Clinical Experience: Comprehensive (Head-to-Toe) Physical Assessment

This is completed in shadow health.

Week 9

Shadow Health Comprehensive SOAP Note Template

Patient Initials: _______ Age: _______ Gender: _______

SUBJECTIVE DATA:

Chief Complaint (CC): Shadow Health Comprehensive SOAP Note Template Essay

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/Social History:

Health Maintenance:

Immunization History:

Significant Family History:

Review of Systems:

General:

HEENT:

Respiratory:

Cardiovascular/Peripheral Vascular:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Neurological:

Psychiatric:

Skin/hair/nails: Shadow Health Comprehensive SOAP Note Template Essay

OBJECTIVE DATA:

Physical Exam:

Vital signs:

General:

HEENT:

Neck:

Chest/Lungs:.

Heart/Peripheral Vascular:

Abdomen:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

Diagnostic results:

ASSESSMENT:

PLAN: Shadow Health Comprehensive SOAP Note Template Essay