A SOAP note case study

Home>Homework Answsers>Nursing homework helpasapurgentIn this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.Abdominal AssessmentSUBJECTIVE:·CC: “My stomach hurts, I have diarrhea and nothing seems to help.”·HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.·PMH: HTN, Diabetes, hx of GI bleed 4 years ago·Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs·Allergies: NKDA·FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD·Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)OBJECTIVE:·VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs·Heart: RRR, no murmurs·Lungs: CTA, chest wall symmetrical·Skin: Intact without lesions, no urticaria·Abd: soft, hyperctive bowel sounds, pos pain in the LLQ·Diagnostics: NoneASSESSMENT:·Left lower quadrant pain·Gastroenteritis·PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.To prepare:With regard to the SOAP note case study provided:·Review this week’s Learning Resources, and consider the insights they provide about the case study.·Consider what history would be necessary to collect from the patient in the case study.·Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?·Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.To complete:1.Analyze the subjective portion of the note. List additional information that should be included in the documentation.2.Analyze the objective portion of the note. List additional information that should be included in the documentation.3.Is the assessment supported by the subjective and objective information? Why or Why not?4.What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literatureWEEK5ASSIGNMENT.docx6 years ago07.07.201925Report issueAnswer(0)Bids(58)sochienMichelle MalkNatural science guruYourStudyGuruAmanda SmithTutor Risperprof.TimetestProfessor Lizzkite_solbrilliant answersMiss Ella WastonWendy LewisBill_Williamskim woodsAngelina MayCatherine OwensJessica LuisLizluvwriterRESPECT WRITERwizard kimShow All Bidsother Questions(10)M5A1 Discussion – Information Gathering and Ethics in MarketingAs the new manager of a convenience store, you have noticed issues with the manual method of tracking sales using paper sales tickets and spreadsheets, as well as, shortages on some of the more popular items carried in the store. Present your case for upgRead the scenario in the attached file then write a page and a half as the instructions in the other attached fileneed in 2 days (by Saturday night)plagiarism free/MT460 DB2revise my essay.Business DeductionsUse the Internet or the Strayer Library to research two U.S.-based companies you believe would mutually benefit from working together in some way. Be prepared to discuss.CAN SOMEONE HELP ME????

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