Transcription of Running head: SOAP NOTE ONE Patient Encounter …
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Running head: SOAP NOTE ONE Patient Encounter …
Running head: SOAP NOTE ONE. Patient Encounter SOAP Note #1. M. Michelle Piper, MSN, RN. Submitted in Partial Fulfillment of the Requirements for GNRS 5568 Older Adult Chronic Illness The University of Texas Medical Branch School of Nursing Fall 2013. 2. SOAP NOTE ONE. SUBJECTIVE. Ms. KH is a 47-year-old Caucasian female who presented to the Magnolia Healthcare clinic October 11, 2013 alone to review abnormal lab work. History of Present Illness & Analysis of Symptom Pt reports that she had labwork drawn one week ago as part of her six-month follow-up appointment. She reports feeling well and healthy today. She states that she thinks her cholesterol labs were probably high.
3 SOAP NOTE ONE Social History Pt is divorced and lives alone in apartment “in town” within 10 minutes drive of twin sister, mother, 2 adult children, and extended family.Reports safe home environment.
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