SOAP NOTE

Chamberlain College Of Nursng

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NR509 Week 2,3,4&5 SOAP Note – Chamberlain College of Nursing
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januari 2021
NR509 Week 2 SOAP Note – Chamberlain College of Nursing NR509 Week 3 SOAP Note – Chamberlain College of Nursing NR509 Week 4 SOAP Note – Chamberlain College of Nursing NR509 Week 5 SOAP Note – Chamberlain College of Nursing
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NR509 Week_5_SOAP_Note - Chamberlain College of Nursing | NR 509 Week_5_SOAP_Note - BELLY PAIN
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9

januari 2021

2020/2021

A
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 in...
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NR509 Week_4_SOAP_Note - Chamberlain College of Nursing | NR 509 Week_4_SOAP_Note - CHEST PAIN
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8

januari 2021

2020/2021

A
NR509 Week_4_SOAP_Note - Chamberlain College of Nursing Chest pain While doing strenuous acitivties, earlier this month. 3 episodes for the past month. Each episode lasts for a couple of minutes.3 episodes for the past month. Each episode lasts for a couple of minutes. Mother 80 y.o.(living)- Type 2 Diabetes and hypertension Father-Deceased at 75y.o. from colon cancer. Hx obesity, hypertention, and hyperlipidemia Spouse (Maria) 51 y.o. : Denies illnesses Son (Sam) 26y.o. : reports is heal...
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NR509 Week 3 SOAP Note {2020} – Chamberlain College of Nursing | NR 509 Week 3 SOAP Note {2020} – Grade A
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18

januari 2021

2020/2021

A+
NR509 Week 3 SOAP Note {2020} – Chamberlain College of Nursing S: Subjective Information the patient or patient representative told you. Initials: JT Age: 28 years Gender: Female Height: 170cm Weight: 88kg BMI: 30.5 BP: 139/87 HR: 82 RR: 16 Temp: 98.9 SPO2: 99% Pain (1-10): 3/10 Allergies Medication: Penicillin—Rash Food: No known allergy Environment: Cats—Asthma exacerbations History of Present Illness (HPI) CC is a BRIEF ...
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