NURSING MISC: SOAP NOTE 4-DIABETES WELL
EXPLAINED RATED A+ DOWNLOAD TO SCORE A
WITH REFERENCES
Soap Note 4 – Diabetes
Name:
Grade Course:
Tutor’s Name:
Date of Submission:
, Patient Information
Informant: Patient is the primary historian who is reliable
Initial and Age: B. F.; Age: 73 years old; Gender: Male; Race: Latino
SUBJECTIVE:
Chief Complaint (CC): A male patient presented in the facility “I have frequent urination, tired
and regular mild headache” in the past two days.
History of Present Illness (HPI): B. F. is a 73 years old retired truck driver came to the hospital
saying that he was suspecting to be having type II diabetes and he was experiencing symptoms
such as frequency in urination, increased thirst and feeling hungry and tiring easily without doing
a strenuous activity. These symptoms started about four weeks ago but he has been thinking that
its normal to have such symptoms possibly from his dieting but this is not the case.
Location: Bladder and head
Onset: 4 weeks ago
Character: Frequency in urination, mild headache and feeling hungry
Associated Symptoms: Tiredness, fatigue, and increased thirstiness
Timing: Started four weeks ago but the symptoms became severe in the last two weeks.
Relieving Factors: Resting in the bed.
Severity: 4/10 on the face scale
Current Medication: Captopril 25 mg Oral tablet, one table (25 mg) by mouth twice a day;
Metformin HCL 500 mg Oral Tablet, one table (500 mg) by mouth twice per day taken with
EXPLAINED RATED A+ DOWNLOAD TO SCORE A
WITH REFERENCES
Soap Note 4 – Diabetes
Name:
Grade Course:
Tutor’s Name:
Date of Submission:
, Patient Information
Informant: Patient is the primary historian who is reliable
Initial and Age: B. F.; Age: 73 years old; Gender: Male; Race: Latino
SUBJECTIVE:
Chief Complaint (CC): A male patient presented in the facility “I have frequent urination, tired
and regular mild headache” in the past two days.
History of Present Illness (HPI): B. F. is a 73 years old retired truck driver came to the hospital
saying that he was suspecting to be having type II diabetes and he was experiencing symptoms
such as frequency in urination, increased thirst and feeling hungry and tiring easily without doing
a strenuous activity. These symptoms started about four weeks ago but he has been thinking that
its normal to have such symptoms possibly from his dieting but this is not the case.
Location: Bladder and head
Onset: 4 weeks ago
Character: Frequency in urination, mild headache and feeling hungry
Associated Symptoms: Tiredness, fatigue, and increased thirstiness
Timing: Started four weeks ago but the symptoms became severe in the last two weeks.
Relieving Factors: Resting in the bed.
Severity: 4/10 on the face scale
Current Medication: Captopril 25 mg Oral tablet, one table (25 mg) by mouth twice a day;
Metformin HCL 500 mg Oral Tablet, one table (500 mg) by mouth twice per day taken with
