Running head: ALZHEIMER’S DISEASE SOAP NOTE 1
Alzheimer’s disease Soap Note
Student’s Name
University Affiliation
, ALZHEIMER’S DISEASE SOAP NOTE 2
PATIENT INFORMATION
NAME: C. M
AGE: 70 years
SEX: Female
SOURCE: Patient
ALLERGIES: NKDA
CURRENT MEDICATIONS: None
PMHX: Patient confirms history of Down syndrome; patient confirms history of osteoporosis;
confirms past hospitalization because of an accident; confirms past head trauma as a result of the
accident; denies blood transfusion hx
FAMHX: Father had a history of hypertension; mother’s hx is positive for Alzheimer’s disease;
patient has two children in good health
SOHX: Patient denies alcohol consumption of use of recreational drugs; patient stays at home
with husband; grandchildren come to visit occasionally
IMMUNIZATIONS: All immunizations up-to-date
Alzheimer’s disease Soap Note
Student’s Name
University Affiliation
, ALZHEIMER’S DISEASE SOAP NOTE 2
PATIENT INFORMATION
NAME: C. M
AGE: 70 years
SEX: Female
SOURCE: Patient
ALLERGIES: NKDA
CURRENT MEDICATIONS: None
PMHX: Patient confirms history of Down syndrome; patient confirms history of osteoporosis;
confirms past hospitalization because of an accident; confirms past head trauma as a result of the
accident; denies blood transfusion hx
FAMHX: Father had a history of hypertension; mother’s hx is positive for Alzheimer’s disease;
patient has two children in good health
SOHX: Patient denies alcohol consumption of use of recreational drugs; patient stays at home
with husband; grandchildren come to visit occasionally
IMMUNIZATIONS: All immunizations up-to-date
