NR509 Week_5_SOAP_Note - Chamberlain College of Nursing | NR 509 Week_5_SOAP_Note - BELLY PAIN

NR509 Week_5_SOAP_Note - Chamberlain College of Nursing NR 509 Week_5_SOAP_Note - BELLY PAIN 5 days ago Lower abdomen Constant. Dull and crampy. Generalized pain that stays in one place. (Last BM 5 days ago, non- radiating worsedn over 2-3 days) (Add associated char diarrhea, last BM) Last Bowel movement 5 days ago. No gastrointestinal history. Menopausal. Reports 3 pregnancies but Last colonoscopy: 10yrs ago reports, results were negative. 2 colonoscopy’s total. Surgical history includes: Cholecystectomy at age 42 and one C-section at 40 with her last pregnancy. Denies other hospitalizations. No recent travel outside of USA in last few years. Hx: Stomach virus a few years ago for 24hrs. Last flu vaccine 2 years ago. Refuses flu vaccine at this visit. Unable to recall date of last tetanus but states is currently up to date at this time. - - - - - - - - - -- Continued