NURS 612
Maryville University
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S.O.A.P. Note TemplatCASE ID# Tina Jones- Mental Health latest update
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---3juni 20242023/2024A+
- O.A.P. Note Template	CASE ID# Tina Jones- Mental Health 
 
S.O.A.P. Note TemplatCASE ID# Tina Jones- Mental Health 
 
 
 
 
Subjective Objective 
Assessment (diagnosis [primary and differential diagnosis]) 
Plan (treatment, education, and follow up plan) 
 
 
	 
 
What brought you here today… 
(eg. headache)	 
 
Difficulty sleeping 
		 
 
History of Present Illness	Chronological order of events, state of health before onset of CC, must include OLDCARTS in paragraph form 
	Onset	Ms. Jones pre...
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NURS 612 Shadow Health All Modules Cases Instructor Keys (NEW DOCS) 2022/2023
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--130september 20222022/2023A+
- ADVANCED HEALTH ASSESSMENT 
 
Health History - TINA JONES™ 
 
© Shadow Health® || ShadowH 
 
**For instructor use only** 
 
Page 1 of 3 
 
Instructor Use Only 
 
Ms. Jones is a pleasant, 28 -year- old obese African American single woman who presents to establish care and with 
 
a recent right foot injury. She is the primary source of the history. Ms. Jones off ers information freely and without 
 
contradiction. Speech is clear and coherent. She maintains eye contact throughout the intervi...
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