Construct a SOAP note for a 60-year-old male patient who presents to you in your primary care clinic with progressive symptoms of polyuria, polydipsia, and polyphagia, leading you to a new diagnosis of type 2 diabetes.
Reflect on what you have learned this week about type 2 diabetes. Construct a SOAP note for a 60-year-old male patient who presents to you in your primary care clinic with progressive symptoms of polyuria, polydipsia, and polyphagia, leading you to a new diagnosis of type 2 diabetes.
Consider and report relevant lab findings (i.e., what lab findings would look like) along with the pertinent subjective and objective findings for your patient and synthesize the data in the form of a detailed assessment and treatment plan
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For this assessment, use the provided SOAP Note Template, which only includes the Assessment and Treatment sections. You must include differential diagnoses with your rationale for ruling each in or out, your final diagnosis(es), and your comprehensive treatment plan. Ensure your treatment plan includes medications, referrals, patient education, and a follow-up plan as appropriate.
Justify your clinical decision-making by citing and referencing evidence-based resources.
Access the most current ADA guidelines to assist with your treatment plan.
Use the following resources as you work on your assessment:
ADA
American Association of Clinical Endocrinology (AACE)
UpToDate through the University Library
Format citations and references for any sources used according to APA guidelines.
Submit your assessment.
Resources
Center for Writing Excellence
Reference and Citation Generator
Grammar Assistance
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