Clickhereto download and analyze the case study for this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your should be based on current evidence and nursing standards of care.
Visit the online library and research for (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.
Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.
Clickto access the codes.
Download theto help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and . Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patients care plan. If the information is not in the provided scenario please consider it normal for , if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.
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