How do you know the patient is improving

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Reference no: EM133769507

Problem

The following information in the SOAP note format: Brief introduction to the patient case (i.e., "The patient is a 78-year-old male with a past medical history of chronic obstructive pulmonary disease who presents to the primary care clinic after several weeks of increasing shortness of breath while performing activities of daily living at home.") History of present illness (POLST) Review of symptoms (pertinent positives and negatives) Pertinent past medical history Physical exam Results of diagnostic tests Assessment (diagnosis and differentials) Plan (including education, follow-up, evaluation) How do you know the patient is improving? What is your plan if they are not improving (including additional tests, referrals, medications)? Treatment plans must follow evidence-based practice and national guidelines when available. Include pathophysiology, diagnostic reasoning or criteria, and pharmacological interventions as they relate to the patient case.

Reference no: EM133769507

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