To Prepare:
Review the Episodic SOAP Note Exemplar provided in this week’s Resources in preparation for this Assignment.
Use the Episodic SOAP Note Template to complete this Assignment.
After completing this week’s Practicum Experience, select a patient that you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:
Subjective: What details did the patient provide regarding his or her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies?
Reflection notes: What would you do differently in a similar patient evaluation?
Please Note: Your Episodic SOAP Note Assignment must be signed by Day 7 of Week 3.