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 Patient
o Reason for visit
o Chief Complaint
o Social Problems Addressed - Medications Section:
o # OTC Medications taken regularly
o # Prescriptions currently prescribed
o # 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 code
o Provider procedure codes (pap smear, destruction of lesion, sutures, etc.) - Other Questions About This Case Category:
- o Age Range
- o Patient type
o HPI
o Patients Primary Language
o Did you chart on the patient record?
o Discussed Management with the Preceptor Handled Visit Independently
o Preceptor Present During Visit
Clinical Notes Category :
PLEASE follow this format
ChiefComplaint: “***”
DIAGNOSIS: must have
PLAN:
Diagnostics:
Therapeutics:include full prescribing information safe dosing
Education: Include (Developmental Stage guidance)
Consultation/Collaboration:
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Herzing University Depression Geriatric SOAP Notes Paper was first posted on January 24, 2021 at 11:46 am.
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