NRNP6540
1
Week 4: Case Study - 76yrd Old Female CC: Nasal
drainage
Head, Neck, and Face Disorders in the Older Population
Nancy S. Doctura
Walden University
NRNP 6540F Advanced Practice Care of Older Adults
Dr. Donna Petko
September 27, 2020
, 2
Head, Neck, and Face Disorders in the Older Population
Older adults face many age-related disorders that involve the head, neck, ad face.
Advanced practice nurses should assess older patients appropriately, as many of these conditions
significantly affect their quality of life. The goal of this paper is to discuss a focused subjective,
objective, assessment, and plan (SOAP) for a geriatric patient with complaints of upper
respiratory tract symptoms. The paper also aims to present diagnostic tests, differential
diagnoses, treatment plans, and reflect learnings from analyzing the medical condition affecting
the older patient.
Focused SOAP Note
Subjective
Patient Information:
Mrs. A, 76, White, Female
Chief Complaint: Mrs. A came to the clinic complaining of persistent “runny nose” for 3 weeks
now, associated clearing of throat, and nasal congestion on awakening in the morning.
History of Present Illness:
Mrs. A is a 76-year-old white female who comes to the clinic with complaints of nasal
drainage, clearing of throat, and occasional nasal congestion that usually occurs when walking in
the morning. The said symptoms usually occur to her during spring, in which she associated the
nasal discharge with pollination. Being now in the winter season, the patient could not associate
1
Week 4: Case Study - 76yrd Old Female CC: Nasal
drainage
Head, Neck, and Face Disorders in the Older Population
Nancy S. Doctura
Walden University
NRNP 6540F Advanced Practice Care of Older Adults
Dr. Donna Petko
September 27, 2020
, 2
Head, Neck, and Face Disorders in the Older Population
Older adults face many age-related disorders that involve the head, neck, ad face.
Advanced practice nurses should assess older patients appropriately, as many of these conditions
significantly affect their quality of life. The goal of this paper is to discuss a focused subjective,
objective, assessment, and plan (SOAP) for a geriatric patient with complaints of upper
respiratory tract symptoms. The paper also aims to present diagnostic tests, differential
diagnoses, treatment plans, and reflect learnings from analyzing the medical condition affecting
the older patient.
Focused SOAP Note
Subjective
Patient Information:
Mrs. A, 76, White, Female
Chief Complaint: Mrs. A came to the clinic complaining of persistent “runny nose” for 3 weeks
now, associated clearing of throat, and nasal congestion on awakening in the morning.
History of Present Illness:
Mrs. A is a 76-year-old white female who comes to the clinic with complaints of nasal
drainage, clearing of throat, and occasional nasal congestion that usually occurs when walking in
the morning. The said symptoms usually occur to her during spring, in which she associated the
nasal discharge with pollination. Being now in the winter season, the patient could not associate
