Clinical Decision Support System (CDSS) Discussion Part-1 Watch this video and answers following questions in your own words. What are the two CDSS types mentioned in the video? How does a CDSS help to prevent over-diagnosis? A new patient…
SOAP NOTE TEMPLATE (Student Name) Miami Regional University Date of Encounter: Preceptor/Clinical Site: Clinical Instructor: Soap Note # ____ Main Diagnosis ______________ PATIENT INFORMATION Name: Age: Gender at Birth: Gender Identity: Source: Allergies: Current Medications: PMH: Immunizations: Preventive…
Grading Rubric Student______________________________________ This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write ups of patients. Since at all of the white-ups that you hand in…
Obstetric Case Study Assignment Pregnancy Jania, a 26-year-old single Hispanic woman presents for an appointment after a positive home pregnancy test. She states that this is a planned pregnancy. She is very sure that the first day of her last…
Obstetrics Case Study Assignment Directions: The student will read the case study and fill out the provided template. This should be filled out as if the student were writing a SOAP note. The use of proper medical terminology is expected.…
Medial knee osteoarthritis SOAP Note Instructions Select a client from clinical experience with an acute health problem or complaint requiring at least two visits. Submit a complete H & P from the initial visit with this client and a focused…
Chronic illness SOAP note and clinical decision making using 2 EBP Instructions Select a patient that you have encountered in your clinical practice with a chronic health problem. Interview the client/family members. Include the following information- Setting: Community clinic, Private…
SOAP Note Analysis SOAP Note to be analyzed: Episodic/Focused SOAP Note Exemplar ABDOMINAL ASSESSMENT: Subjective: CC: My stomach hurts, I have diarrhea and nothing seems to help. HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started…
Episodic/Focused SOAP Note Exemplar Focused SOAP Note for a patient with chest pain S. CC: “Chest pain” HPI: The patient is a 65 year old AA male who developed sudden onset of chest pain, which began early this morning. The pain is…
Musculoskeletal and Neurological Disorders Felipe is a 70-year-old Hispanic male who presents to the urgent care clinic accompanied by his wife and neighbor. According to the history, he had been on a ladder cleaning windows and then had fallen to…
