Shadow Health Comprehensive assessment soap note
KINDLY ADD 2 PAGES WITH THE FOLLOWING INFORMATION TO THE ATTACHED FILE. THE FILE HAS ALL THE REQUIRED INFORMATION TO COMPLETE THE ASSIGNMENT.
SOAP note:
You may utilize your SOAP note from the assessment. You may alter it as needed.
Problem focus: Choose 4 areas of concern to focus on from your comprehensive assessment to focus on
For each problem include the following:
Pathophysiology: A brief pathophysiology (more abbreviated than previous plans of care)
Include the following information as appropriate:
Pathophysiology of the disease process
Population it generally affects
Major systems affected
Common signs and symptoms
Diagnostic criteria (what tests, abnormal labs, etc do we commonly find)
Treatments:
Pharmacologic
Major classifications of medications used to treat (2 classifications). You may format these however you wish.
Indications for each classification
Mechanisms of action
Therapeutic response
Common adverse effects
Non-pharmacologic: May include:
Surgical options
Lifestyle changes such as dietary and exercise changes, smoking cessation, etc
Therapies including physical therapy, occupational therapy, mental health, etc