Reference no: EM133635138
Homework: Soap Note #1 Acute or Chronic Conditions
Pick any "ADULT" Acute or Chronic Disease.
Must use the sample template for your soap note, keep this template for when you start clinicals.Follow the MRU Soap Note Rubric as a guide.
Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 20% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 20%. Copy-paste from websites or textbooks will not be accepted or tolerated.
See the College Handbook with reference to Academic Misconduct Statement.
The use of templates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made-up patient.
I. The Topics
1. SOAP note: Adult (Any Adult or Chronic) Condition
II. Suggested Reading Material
1. Sample SOAP Note
2. Mosby's manual of diagnostic and laboratory test (6th ed)
3. Jarvis, C. (2016). Physical examination & health assessment. Seventh edition. St. Louis, Mo.: Elsevier
III. CSLO's
1. Formulate accurate differential diagnoses to promote health, prevent disease, and manage acute and chronic illness in adult and geriatric population.
2. Employs screening and diagnostic strategies in the development of diagnosis.
3. Demonstrate effective communication skills by performing culturally sensitive health assessment interviews.
4. Critically analyze data and evidence for improving health outcomes.
IV. EPSLO's
1. Integrate nursing and related sciences into the delivery of care to clients in diverse healthcare settings.
2. Create effective interdisciplinary organizational and systems leadership in the care of clients in diverse care settings.
3. Apply practice guidelines to improve practice and health outcomes.
4. Relate information and communication technologies to document and improve practice health outcomes.
5. Employ collaborative interprofessional strategies for improving client and population health outcomes.
6. Evaluate the effectiveness of clinical prevention interventions that affect individual and population based-health outcomes, perform risk assessments, add design plans or programs of care.
7. Relate knowledge of illness and disease management to providing evidence-based care to clients, communities, and vulnerable populations in an evolving healthcare delivery system.