A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.

Instructions:

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.

For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

S =Subjective data: Patient’s Chief Complaint (CC).

O =Objective data: Including client behavior, physical assessment, vital signs, and meds.

A =Assessment: Diagnosis of the patient’s condition. Include differential diagnosis.

P =Plan: Treatment, diagnostic testing, and follow up

Submission Instructions:

• Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.
• You must use the template provided. Turnitin will recognize the template and not score against it.
• Your submission will be reviewed for plagiarism through Turnitin.

The purpose of this response is to better understand gynecological health care for lesbian, bisexual and transgender individuals.

• Define and describe for lesbian, bisexual and transgender individuals.
  • Gender and sexuality concepts.
  • Social and political context.
  • Social determinants of health affecting lesbian, bisexual and transgender individuals.
  • Barriers to health care.
  • Health care disparities.

Submission Instructions:

• The response is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The response is to be no shorter than 3-4 pages in length, excluding the title and references page.
• Your response should be formatted per APA.
• Your submission will be reviewed for plagiarism through Turnitin.
• Incorporate current practice guidelines for diagnosis and treatment and a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

O.R. is a 42-year-old female patient that was evaluated by you at the office today. After your evaluation you concluded that she has Toxic Shock Syndrome. 

• Discuss and described the pathophysiology and symptomology/clinical manifestations of TSS.
• Discuss three differential diagnoses for AUB with ICD 10 numbers for each.
• Discuss patient education.
• Develop the management plan (pharmacological and nonpharmacological). 
   

Then, continue to discuss the 3 topics listed below for your case:

1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
2. Name the different family developmental stages and give examples of each one.
3. Describe family structure and function and the relationship with health care.

Submission Instructions:

• initial response should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources published within the last five years.

Describe the Electronical Medical Record system that is used on your clinical practice site.  

1. What are the Pros and cons you have found.
2. Is E-prescription incorporated on the EMH?
3. Does it have adaptive learning?
4. Does it have Incorporated patient doorway?
5. Is there Flexibility with the absence of internet connectivity?
6. Does it have effective documentation and Image management capability.

Support and share your personal experience so all of us can learn.

Submission Instructions:

• Your initial response should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Need help and ideas to write a discussion board.