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?
The patient files will be attached to this order. And I want only the Assessment and Plan and reflection notes parts written for me. The subjective and objective part of this paper is already available so i want only the ASSESSMENT,PLAN AND REFLECTION NOTES PLS.
I will also attach a soap rubric and a previous soap example.
