SOAP Note Format Essay Assignment
Task:
Your task is to talk to a friend, family member, or colleague and gather detailed information about their men’s health history. Afterward, write down the history and what you would expect to find during a regular physical examination, following the SOAP note format.
Additional Information:
– Even if your “patient” has some unusual findings, make sure you also document what you would normally expect to find during an exam. If there are abnormal findings, you can mention them in parentheses next to the expected normal findings.
– Your write-up should include both the subjective (what your “patient” tells you) and objective (what you observe or examine) sections of the SOAP note.
– You can include the assessment and plan parts of the SOAP note if you like, but please note that these sections won’t be graded.
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Creating a Chief Complaint:
– To document the OLDCART (HPI) data, come up with a main health complaint for your “patient.” You should choose one of the following: penile discharge, rectal bleeding, or frequent urination.
– Tailor the Review of Systems (ROS) based on your “patient’s” chief complaint and the specific body systems you’re examining.
– If you need guidance on the SOAP Note Format, you can refer to the SOAP Note Format document in Course Resources. This format is what the faculty will use during the immersion weekend.
Important Note:
Please remember that this is a hypothetical exercise, and you don’t need to actually perform a physical examination on anyone. You are creating a fictional case for this assignment.
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