Only need section A of the soap note to be completed. I attached what I wrote s
Only need section A of the soap note to be completed. I attached what I wrote so far. Assignment: Subjective: What details did the patient provide regarding her personal and medical history? Objective: What observations did you make during the physical assessment? Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why? Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently in a similar patient evaluation? Rubric : Create documentation in the Focused SOAP Note Template about the patient you selected. In the Subjective section, provide: • Chief complaint • History of present illness (HPI) • Current medications • Allergies • Patient medical history (PMHx), including immunization status, social and substance history, family history, past surgical procedures, mental health, safety concerns, reproductive history • Review of systems-- Excellent 9 (9%) - 10 (10%) Good 8 (8%) - 8 (8%) Fair 7 (7%) - 7 (7%) Poor 0 (0%) - 6 (6%) In the Objective section, provide: • Physical exam documentation of systems pertinent to the chief complaint, HPI, and history • Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses-- Excellent 9 (9%) - 10 (10%) Good 8 (8%) - 8 (8%) Fair 7 (7%) - 7 (7%) Poor 0 (0%) - 6 (6%) In the Assessment section, provide: • At least 3 differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnosis selection. Include pertinent positives and pertinent negatives for the specific patient case.-- Excellent 23 (23%) - 25 (25%) Good 20 (20%) - 22 (22%) Fair 18 (18%) - 19 (19%) Poor 0 (0%) - 17 (17%) In the Plan section, provide: • A detailed treatment plan for the patient that addresses each diagnosis, as applicable. Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions, education, disposition of the patient, and any planned follow up visits. • Reflections on the case describing insights or lessons learned. • A discussion related to health promotion and disease prevention taking into consideration patient factors, PMH, and other risk factors.-- Excellent 27 (27%) - 30 (30%) Good 24 (24%) - 26 (26%) Fair 21 (21%) - 23 (23%) Poor 0 (0%) - 20 (20%) Provide at least three evidence-based, peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than five years old) and support the treatment plan in following current standards of care.-- Excellent 9 (9%) - 10 (10%) Good 8 (8%) - 8 (8%) Fair 7 (7%) - 7 (7%) Poor 0 (0%) - 6 (6%) Written Expression and Formatting - Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused--neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.-- Excellent 5 (5%) - 5 (5%) Good 4 (4%) - 4 (4%) Fair 3.5 (3.5%) - 3.5 (3.5%) Poor 0 (0%) - 3 (3%) Written Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation-- Excellent 5 (5%) - 5 (5%) Good 4 (4%) - 4 (4%) Fair 3.5 (3.5%) - 3.5 (3.5%) Poor 0 (0%) - 3 (3%) Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.-- Excellent 5 (5%) - 5 (5%) Good 4 (4%) - 4 (4%) Fair 3.5 (3.5%) - 3.5 (3.5%) Poor 0 (0%) - 3 (3%)

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