nurs 6531 soapnote 1
Assignment: Practicum Experience â€“ SOAP Note and Journal
After completing this weekâ€™s Practicum Experience, select a patient that you examined during the last 3 weeks.
With this patient in mind, address the following in a SOAP Note:
Â· Subjective: What details did the patient provide regarding his or her personal and medical history?
Â· Objective: What observations did you make during the physical assessment?
Â· 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?
Â· Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies?
Â· Reflection notes: What would you do differently in a similar patient evaluation?