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{"id":158760,"date":"2021-09-13T06:48:46","date_gmt":"2021-09-13T06:48:46","guid":{"rendered":"https:\/\/nursingwritershelp.com\/?p=158760"},"modified":"2021-09-13T06:48:46","modified_gmt":"2021-09-13T06:48:46","slug":"soap-note-pid","status":"publish","type":"post","link":"https:\/\/nursingwritershelp.com\/soap-note-pid\/","title":{"rendered":"Soap Note PID"},"content":{"rendered":"<\/p>\nA) Please fallow instruction. I need you to make up a soap note for a female patient with diagnoses of Pelvic Inflammatory disease (PID) Please fill out the template. I include the soap note template you must plug the information, the rubric to follow in separate attachments. I need you to provide the following: APA format with references at least no older than 5 years.<\/p>\n
Chief complaint: Lower abdominal pain and vaginal di<\/p>\n
1) The Diagnosis ICD 10 code<\/p>\n
2) 3 differential diagnoses with ICD 10 code.<\/p>\n
3) Vital sign, BMI<\/p>\n
4) Complete Chief patient compliant<\/p>\n
5) Subjective Information<\/p>\n
6) PMH, PSH, FH, ROS completed. Provide complete and concise summary of pertinent information.<\/p>\n
7) Complete Objective Information<\/p>\n
8) Lab Tests<\/p>\n
9) Allergies<\/p>\n
10) Complete physical exam with critical elements related to subjective data.<\/p>\n
11 )Perform Assessment<\/p>\n
12) Minimum of 3 differentials supported by S + O data. Final diagnosis noted and optimal and thorough subjective and objective assessment is presented for final diagnosis.<\/p>\n
13) Create a Plan<\/p>\n
14) Plan includes pharmacologic and nonpharmacologic treatments as well as education provided. The plan is supported by evidence\/guidelines, and the follow-up plans are noted.<\/p>\n
15) Self-Assessment & Clinical Guidelines<\/p>\n
16) Analyze quality and relevance of S + O data and the evidence for diagnosis. Use of clinical evidence based reasoning and literature in designing plan of care, compare to plan of care.<\/p>\n
Weight: 96 kgs need this in LBS<\/p>\n
Height : 1.7 m need in cm<\/p>\n
BMI: 33.22<\/p><\/p>\n \n