SOAP Note for a well child

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Health Medical

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This paper is to demonstrate your ability to conduct age-appropriate developmental testing while performing health maintenance and screening activities during a well child visit as demonstrated by the completion of a SOAP note based on one of your encounters in your clinical experience in pediatric rotation.

For ease of learning, a SOAP note template has been provided see attach file. For this paper, proper citation and referencing is required because this is an academic paper.

5 references less than 5 years old

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Running head: TITLE GOES HERE 1 Title of Paper Here Student Name Course Name Instructor Name Date TITLE OF PAPER HERE 2 SOAP NOTE FOR WELL CHILD SUBJECTIVE Chief Complaint (CC): History of Present Illness (HPI): Age-Appropriate Health Screening Activities: Last Menstrual Period (LMP — if applicable): Allergies: Past Medical History: Family History: Surgery History: Social History: Current medications: Review of Systems (ROS) Constitutional: HEENT: Cardiovascular: Respiratory: Gastrointestinal: Genitourinary: Musculoskeletal: Psychiatric: OBJECTIVE Vital Signs/Height/Weight/BMI/Percentiles: TITLE OF PAPER HERE General Appearance: HEENT: Neck: Cardiovascular: Respiratory: Abdomen: Genitourinary: Extremities: Back/Hips: Musculoskeletal: Dermatologic: Psychiatric: Neurological: Age-Appropriate Developmental Testing Results: ASSESSMENT A: Differential diagnosis with cited rationale (if applicable) 1. B: Medical diagnosis with cited rationale (list at least 1) 1. PLAN 3 TITLE OF PAPER HERE 4 Orders (replace text in 1–5 below with your content) 1. Prescriptions with dosage, route, directions to administer, amount to be dispensed, and any refills (if applicable) 2. Diagnostic and/or screening tests 3. Problem-oriented education 4. Health promotion/maintenance needs/psychosocial needs 5. Referrals Patient/Family Education: Cultural Considerations: Follow-Up Plans (replace text in 1–3 below with your content) 1. Return to clinic (RTC) in what time frame and reason for next visit 2. Interventions considered if not improved (if applicable) 3. Next health maintenance visit due References TITLE OF PAPER HERE Author, A. B., & Author, C. D. (year). Title of reference. Where located. This is the basic formula for all reference entries. The following are some examples. Able, E. F., Cain, J. K., & Daniels, L. M. (year). Title of webpage/article, if article. Retrieved from URL [Note, no period at end of this kind of entry] Boyer, R. M. (year). Title of journal article. Title of Journal, volume number, (issue number), pages numbers of article. Elephant, N. O. (year). Title of chapter. In P. Q. Frank & R. S. Grant (Eds. [if listed as editor on book; leave off if not]), Title of book here (3rd ed. [if edition number present], pp. XX– YY). City, STATE ABBREVIATION: Jones and Bartlett [Note, no "Publisher" or other words used]. Higgs, T. U. (year). Title of book (edition number, if one, as: xth ed.). City, STATE: Publisher. Johnson, X. Y. (year, month day). Title of video [Video file]. Retrieved from URL 5
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