Herzing University Depression Geriatric SOAP Notes Paper
Herzing University Depression Geriatric SOAP Notes Paper
Create 12 Geriatric ONLY Soap notes. Avoid repeating diagnosis. This needs to be from an FNP new perspective in a clinic setting. Include a variety of preventive visits, chronic, and wellness disorders annual exam pertaining only to this population.Include developmental appropriate stages. Every soap note needs a diagnosis and therapeutic section must have medications and full prescribing instructions specifically for the geriatric population. .Include low to medium complexity in ICD code.
Documentation Requirements
Must Include
Patient Demographics Section:
Age
Race
Gender
Clinical Information Section:
Time with Patiento Reason for visito Chief Complainto Social Problems Addressed
Medications Section:o # OTC Medications taken regularlyo # Prescriptions currently prescribedo # New/Refilled Prescriptions This Visit
ICD 10 Codes Category:o Include for each diagnosis addressed at the visit
CPT Billing Codes Category:o Include Evaluation and management codeo Provider procedure codes (pap smear, destruction of lesion, sutures, etc.)
Other Questions About This Case Category:
o Age Range
o Patient typeo HPIo Patients Primary Languageo Did you chart on the patient record?o Discussed Management with the Preceptor Handled Visit Independentlyo Preceptor Present During Visit
Clinical Notes Category :
PLEASE follow this format
ChiefComplaint: “***”DIAGNOSIS: must havePLAN:
Diagnostics: Therapeutics:include full prescribing information safe dosing Education: Include (Developmental Stage guidance)
Consultation/Collaboration:
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