Soap note case study
From: Ky D.
Category: dissertation degree
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Caitlin Goodwin is a Certified Nurse-Midwife and birth nerd with 12 years in obstetric nursing. If you're looking for the basics of how to write an obstetric SOAP note , see the introductory article I wrote on the same topic. If you're feeling a bit more advanced, follow along with this women's health case study. However, patient desires are relevant to care and include communication and shared decision making regarding birth plans, values, culture, and beliefs. There is no one correct answer for many topics within labor and childbirth. I am a huge advocate for midwifery care and empowering women.
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Case Study Information for Soap Notes
Tuberculosis Case Study
AGE: 16 years-old. It smells horrific. It has been three days now. The diarrhea is consistent. The diarrhea started three days ago with a sudden onset. There are no alleviating factors. There are no aggravating factors.
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Case Studies: Tuberculosis
Focused SOAP notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care. For this Assignment, you will document information about a patient that you examined during the last three weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient. To Prepare. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
Patient A is a year-old male who was admitted to the hospital from home after 1 week of cough, profuse nocturnal sweating, loss of appetite and hyposomnia. He was seen by an emergency room physician who noted signs of depression. The patient has a history of intravenous drug abuse and hepatitis B. Patient A was originally administered isoniazid, rifampin, pyrazinamide, and ethambutol for 7 days per week for 8 weeks, followed by isoniazid and rifampin 7 days per week for 24 weeks.
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