NURS 697L Problem-Focused SOAP Note week 4 fall 2023 with complete solution

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SOAP NOTE




NURS 697L Problem-Focused SOAP Note week 4 fall 2023
with complete solution




Problem-Focused SOAP Note




NAME

West Coast University

NURS 697L - Adult Care Adult and Geriatric Patient Practicum

II Professor:

04 June 2023




Problem-Focused SOAP Note
Demographic Data
● Patient initial: R. M.
● Age: 38
● Gender: Male
Subjective
● Chief Complaint (CC): Sharp, diffuse, and constant abdominal pain started
since 11:00 am, June 1st, 2023.
● History of Present Illness (HPI) in paragraph form (remember OLDCART:
Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors,
Relieving Factors, Treatment)
○ HPI: This is a pleasant 38-year-old caucasian male patient with a past medical
history significant for hypertension, anemia, chronic kidney disease stage 4, and
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SOAP NOTE
anxiety, who presents from drugs and alcohol rehabilitation to the hospital for




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