MN552 SOAP Note With Genogram
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MN552 SOAP Note With Genogram
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SOAP Note Section I and Genogram
- Please select a volunteer friend or family member to interview and gather data to complete this Assignment.
- This section of the SOAP note will include the chief complaint, history of present illness, and family/social/personal history data.
- Click here for the written guide for this Assignment.
- The guide will assist you in gathering subjective data in an organized, systematic manner to prevent omission of important components of the health history.
- Make sure you address all content as noted in the written guide.
- Include the genogram together with this Assignment as one document.
- You may search the Web to locate a suitable genogram diagram to input data. Only include three generations in the genogram depiction.
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SOAP Note
| Instructions: Enter total points possible in cell C16, under the rubric. Next enter scores (between 0 and 4) into yellow cells only in column F. | |||||||
| Unit 2 – SOAP Note Section 1 Grading Rubric | |||||||
| Unacceptable | Below Average | Average | Above Average | Score | Weight | Final Score | Comments |
| 0 | 2 | 3 | 4 | ||||
| Date and Source of History, Biographical Data | No data addressed. | Data poorly addressed. | Data addressed but more detail is needed or content inconclusive. | Data specific, clear and thoroughly addressed. | 0 | 20% | 0.00 |
| Chief Complaint and History of Present Illness | No chief complaint or history of present illness. | Chief complaint and history of present illness poorly addressed. | Chief complaint and history of present illness addressed but more detail is needed or content inconclusive. | Chief complaint and history of present illness specific, clear and thoroughly addressed. | 0 | 20% | 0.00 |
| Past Medical and Family History | No past medical or family history. | Past medical and family history poorly addressed. | Past medical and family history addressed but more detail is needed or content inconclusive. | Past medical and family history specific, clear and thoroughly addressed. | 0 | 20% | 0.00 |
| Genogram | No genogram. | Genogram poorly addressed. | Genogram depicted but more detail is needed or genogram inconclusive. | Genogram specific, clear and thoroughly addressed. | 0 | 20% | 0.00 |
| Organized and well written | No paper submitted. | Paper was unorganized and poorly written. | Paper was somewhat organized and overall writing left room for improvement. | Paper was thoroughly organized and well written. | 0 | 5% | 0.00 |
| Ideas stated clearly and logically | No paper submitted. | Ideas were not stated clearly or logically. | Some ideas were stated clearly and logically. | All ideas were stated clearly and logically. | 0 | 5% | 0.00 |
| Relevance of Content | No paper submitted. | Paper was off topic and not relevant. | Some portions of paper were on topic and relevant. | Paper was thoroughly on topic and relevant. | 0 | 5% | 0.00 |
| Spelling and grammatical errors | No paper submitted. | No formatting guidelines | Less than 6 spelling or grammatical errors. | All formatting guidelines were followed; No spelling or grammatical errors. | 5% | 0.00 | |
| 100% | 0.00 | ||||||
| Final Score | 0 | ||||||
| Percentage | 0.00% | ||||||
| Total available points = | 20 | 4 | |||||
| Rubric Score | Grade points | Percentage | |||||
| Low | High | Low | High | Low | High | ||
| 3.5 | 4.0 | 18 | 20 | 90% | 100% | ||
| 2.5 | 3.49 | 16 | 18 | 80% | 89.99% | ||
| 1.7 | 2.49 | 14 | 16 | 70% | 79.99% | ||
| 1.0 | 1.69 | 12 | 14 | 60% | 69.99% | ||
| 0.0 | 1.00 | 0 | 12 | 0 | 59.99% |
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