strap Note ------------------------------------------------- Associate Level Material lather Note Create collar SOAP notes using settle medical terminology from the diligent information in appurtenance C. ?Organize the information correctly ? put the SOAP notes ? decree language where necessary Post your paper as a MicrosoftĂ‚® Word attachment. affected role One Chapter 6 Soap Notes escort:| 07/04/2012| Chart #:| 001| Age:| 22| Name:| Doe, Jane| go through of hand over:| 01/14/1990| Sex:| F| S:| | | | | | | | | | | patient role states she has had monstrous lower derriere fall in constantly for 5 days. longanimous has not been eating much. there has been no vomiting with want to what the patient has been able to eat. Patient also experiencing headaches. Bowel sounds ar good and no issues say with evacuation of same. Not currently on any medications. Has stock a diagnosis of sickle cell genus Anemia in the past. | CC:| | | | | | | | | | | Acute back pain and frequent headaches| story of Present Illness: historical Medical History:| | | | | | | | | | | tail discomfort and headaches.Sickle cell anemia| O:| | | | | | | | | | | Physical query of patients body uneventful. Patient is qui vive and responsive.
Skin colour is normal and regular. decided pain is puzzle in abdomen above lumbar spinal cord. livestock work and labs drawn. Iv with fluids golf clubed. business work results show blanched blood cells 4300, haemoglobin 13.1g/dl, haematocrit 39.9%, platelets 162,00, Segs 65.9, lymphs 27, monos 3.4.| Vital Signs:| BP:| | PR:| | RR:| | T:| Ă‚°F| W:| lbs| | | cxl/60| | 22! | | 38| | 99 degrees F| | n/a| | | A:| | | | | | | | | | | Patient experiencing a sickle cell crisis| Dx:| | | | | | | | | | | Sickle cell crisis| P:| | | | | | | | | | | Patient is to be admitted to hospital. IV fluids to be administered along with pain medication via the IV. Physcian will...If you want to beat a full essay, order it on our website: OrderCustomPaper.com
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