Pediatric Soap Note
SU NSG6435 Week 1 Assignment 3
SU NSG6435 Week 1 Assignment 3
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG6435_W1_A3_LastName_FirstInitial.doc.
Include the reference number from eMedley in your document.
NSG 6435 Week 2 SOAP Note Assignment
Assignment 2: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox.When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG6435_W2_A2_LastName_FirstInitial.doc.
Include the reference number from eMedley in your document.
NSG 6435 Week 3 Assignment 3: SOAP Note
Each week, you are required to enter your patient encounters into eMedley.Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience.You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox.When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
enter your patient encounters into eMedley and submit your Pediatric SOAP note document to the W3 Assignment 3 Dropbox.
Name your SOAP note document SU_NSG6435_W3_A3_LastName_FirstInitial.doc.
Include the reference number from eMedley in your document.
SU NSG6435 Week 4 Assignment 4: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc.
Include the reference number from eMedley in your document.
ADDITIONAL DETAILS
Pediatric SOAP Note
Introduction
In this note, the author introduces pediatric SOAP notes.
Subjective:
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The history of present illness
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The chief complaint, including any symptoms or signs that are associated with this complaint.
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Family history of similar problems, including medical history (e.g., allergies), past surgical/ medical treatment and medications taken at home or elsewhere.
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Social history: current employment status; number of children; occupation/profession; marital status; education level
Objective:
The objective of this note is to provide information on a patient who is unresponsive and has no previous medical history. The following are the most important points:
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The patient’s name and age.
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The date, time, location of the event (e.g., hospital room). -Describe what you observed during your interaction with this individual (e.g., how they were positioned on their bed or chair). Include any relevant details such as their appearance or demeanor at that time period when you interacted with them; for example: “the patient was lying flat on her back with her arms resting by her sides.”)
Assessment:
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The assessment is a systematic review of the patient’s medical history, physical examination, and laboratory findings.
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The doctor will determine the severity of your child’s condition based on these results.
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If you have concerns about your child’s health or development, talk to their doctor before doing anything else.
Plan:
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Treatment plan:
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List all the interventions and their frequency of use.
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What is the plan for the patient? What are the next steps? Is there a specific plan to follow if things go well (e.g., what happens if medication is taken as prescribed, or if a treatment does not work)? How long will it take for your patient to feel better, or reach an expected outcome (e.g., improved sleep patterns)?
Takeaway:
The takeaway is the most important part of this note. It should be a brief statement of the problem and its plan to address it. This section can also contain any additional information you want to include, such as how long it’s been since your patient has had an appointment or if they’re currently on antibiotics for an infection.
Conclusion
The SOAP note is a great tool for providers when it comes to providing care for children with special needs. The note can be used in a variety of situations and by different people including families, school staff, therapists and other professionals on their team. This will help them get better at caring for their patients by using clear communication strategies that work best for each individual child.
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