Practicum Experience: SOAP Note and Time Log Essay Assignment Paper

Get nursing paper writing help on Practicum Experience: SOAP Note and Time Log Essay Assignment Paper from Nursing Academic Writers

Practicum Experience: SOAP Note and Time Log Essay Assignment Paper

After completing this week’s Practicum Experience, You evaluated a patient with hypertension. With this patient in mind, address the following in a SOAP Note:
1).Subjective: What details did the patient provide regarding his or her personal and medical history?
2).Objective: What observations did you make during the physical assessment?
3).Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
4).Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies?
5).Reflection notes: What would you do differently in a similar patient evaluation?

 

• Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.
o Part 11, “Evaluation and Management of Cardiovascular Disorders” (pp. 487–611)

 

• Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Mosby.
o Chapter 26, “Recording Information”

 

• Gagan, M. J. (2009). The SOAP format enhances communication. Nursing New Zealand, 15(5), 15.
Retrieved from the Collage Library databases.

 

• National Heart Lung and Blood Institute. (2002). Primary prevention of hypertension: Clinical and public health advisory from the National High Blood Pressure Education Program. Retrieved from http://www.nhlbi.nih.gov/health/prof/heart/hbp/pphbp.pdf

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