Running head: WEEK 6: SUMMARY 1
Week 6: Case
Presentation Chamberlain
University
NR603: Advanced Clinical Diagnosis and Practice Across
Lifespan March 2018
SOAP Week 6
Patient Information:
S.C., 48-year-old female, Caucasian, insurance unknown.
(S) Subjective:
CC: "increasing weight despite dieting"
HPI: 48-year-old white woman complaining of increasing weight gain despite diet over past 4 months.
Has less energy than usual, decreased interest in usual activities, less able to complete routine tasks, and
generally slowed up. Dissatisfied with her overall appearance and inability to lose weight.
Current Medications:
Denies prescription medication. Takes daily multivitamin for last month.
Allergies: NKDA.
PMHx: HTN.
PSHx: Denies past surgeries. Hospitalization for childbirth x2. G2P2.
Childhood Illnesses: None reported.
Immunization Hx: Unsure of immunization status. No recent influenza, tetanus.
Other Screenings: Not reported.
Soc Hx: The patient reported that she had recently quit smoking ‘cold turkey’ and had successfully
maintained abstinence for four months. She reported quitting smoking following the death of her
mother because she died of cancer. She quit smoking without any professional help and without the
use of any nicotine replacements or medications to assist with the smoking cessation. she began
This study source was downloaded by 100000861168648 from CourseHero.com on 03-11-2023 04:54:59 GMT -
https://www.coursehero.com/file/35095352/NR603-Week-6-Case-
, Running head: WEEK 6: SUMMARY 2
smoking at
This study source was downloaded by 100000861168648 from CourseHero.com on 03-11-2023 04:54:59 GMT -
https://www.coursehero.com/file/35095352/NR603-Week-6-Case-
Week 6: Case
Presentation Chamberlain
University
NR603: Advanced Clinical Diagnosis and Practice Across
Lifespan March 2018
SOAP Week 6
Patient Information:
S.C., 48-year-old female, Caucasian, insurance unknown.
(S) Subjective:
CC: "increasing weight despite dieting"
HPI: 48-year-old white woman complaining of increasing weight gain despite diet over past 4 months.
Has less energy than usual, decreased interest in usual activities, less able to complete routine tasks, and
generally slowed up. Dissatisfied with her overall appearance and inability to lose weight.
Current Medications:
Denies prescription medication. Takes daily multivitamin for last month.
Allergies: NKDA.
PMHx: HTN.
PSHx: Denies past surgeries. Hospitalization for childbirth x2. G2P2.
Childhood Illnesses: None reported.
Immunization Hx: Unsure of immunization status. No recent influenza, tetanus.
Other Screenings: Not reported.
Soc Hx: The patient reported that she had recently quit smoking ‘cold turkey’ and had successfully
maintained abstinence for four months. She reported quitting smoking following the death of her
mother because she died of cancer. She quit smoking without any professional help and without the
use of any nicotine replacements or medications to assist with the smoking cessation. she began
This study source was downloaded by 100000861168648 from CourseHero.com on 03-11-2023 04:54:59 GMT -
https://www.coursehero.com/file/35095352/NR603-Week-6-Case-
, Running head: WEEK 6: SUMMARY 2
smoking at
This study source was downloaded by 100000861168648 from CourseHero.com on 03-11-2023 04:54:59 GMT -
https://www.coursehero.com/file/35095352/NR603-Week-6-Case-
