SOAP NOTE 2 PEDIATRICS/ SCABIES Nursing homework help

SOAP NOTE 2 PEDIATRICS/ SCABIES Nursing homework help

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CREATE THE SOP NOTE USING THE GUIDE AND PATIENT INFORMATION

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<p><font color=”#FFFFFF” size=”2″>&nbsp; <b>Miami Regional University&nbsp;&nbsp; </b>(Acct #3111)</font></td>
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<td width=”50%”><b><font size=”2″>&nbsp; Case ID #: 2844-20220119-003</b></font><font size=”2″>
&nbsp;&nbsp;(Status:&nbsp;NOT Approved)
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<p align=”right”><b><font size=”2″>Date of Service:
1/19/2022&nbsp;</font></b><font size=”2″></b></font></font></font></td>
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<p align=”center”><font color=”#FFFFFF” size=”2″><b>Student Information – Santiesteban Molina, Osmel</b></font></td>
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<p align=”right”><font size=”2″><b>Semester:</b></font></td>
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Spring
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<font size=”2″><b>Course:</b></font></td>
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MSN6150C Advanced Practice Pediatrics
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<b><font size=”2″>Preceptor: </font></b></td>
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TREJO, RODOLFO
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<b><font size=”2″>Clinical Site</font></b><font size=”2″><b>:</b></font></td>
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Neighborhood Family Doctor.Atlantis
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Setting Type</font></b><font size=”2″><b>:</b></font></td>
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Underserved area/population
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<p align=”center”><font color=”#FFFFFF” size=”2″><b>Patient Demographics</b></font></td>
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Age:</b></font></td>
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8 years
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<p align=”right”><b><font size=”2″>Race</font></b><font size=”2″><b>:</b></font></td>
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White, Non Hispanic
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<p align=”right”><b><font size=”2″>Gender</font></b><font size=”2″><b>:</b></font></td>
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Male
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<p align=”right”><b><font size=”2″>Insurance</font></b><font size=”2″><b>:</b></font></td>
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Medicare
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<p align=”right”><b><font size=”2″>Referral</font></b><font size=”2″><b>:</b></font></td>
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Community Services
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<p align=”center”><font color=”#FFFFFF” size=”2″><b>Clinical Information</b></font></td>
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Time with Patient:</b></font></td>
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15 minutes</font></td>
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Consult with Preceptor:</b></font></td>
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5 minutes</font></td>
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<b><font size=”2″>Type of Decision-Making:</font></b></td>
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Straightforward
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<b><font size=”2″>Reason for Visit:</font></b></td>
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Episodic
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Chief Complaint:</font></b></td>
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<font size=”2″>”I have itchin between fingers”
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<b><font size=”2″>Type of HP:</font></b></td>
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Problem Focused
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<b><font size=”2″>Social Problems Addressed:</font></b></td>
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Safety<br>Social Contact/Isolation<br>Emotional<br>Growth &amp; Development<br>Prevention<br>
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<font color=”#FFFFFF” size=”2″><b>Procedures/Skills (Observed/Assisted/Performed)</b></font></td>
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<font color=”#FFFFFF” size=”2″><b>ICD-10 Diagnosis Codes</b></font></td>
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<b><font size=”2″>#1 -</font></b><font size=”2″>&nbsp;
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B86&nbsp;- SCABIES
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<p align=”center”><font color=”#FFFFFF” size=”2″><b>CPT Billing Codes</b></font></td>
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<b><font size=”2″>#1 -</font></b><font size=”2″>&nbsp;
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99212&nbsp;- OFFICE/OP VISIT, EST PT, MEDICALLY APPROPRIATE HX/EXAM; STRTFWD MED DECISION; 10-19 MIN
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<p align=”center”><b><font size=”2″ color=”#FFFFFF”>Birth & Delivery</font></b></td>
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<p align=”center”><b><font size=”2″ color=”#FFFFFF”>Medications</font></b></td>
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<p><b><font size=”2″># OTC Drugs taken regularly:</font></b></td>
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0</font></td>
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<b><font size=”2″># Prescriptions currently prescribed:</font></b></td>
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0</font></td>
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<b><font size=”2″># New/Refilled Prescriptions This Visit:</font></b></td>
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1</font></td>
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<u>
<b><font size=”2″>Types of New/Refilled Prescriptions This Visit:</font></b></u><font size=”2″><BR>
Dermatology – Lice/scabies agents<BR>
&nbsp;</font></td>

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<b><font size=”2″>Adherence Issues with Medications:</font></b></u><font size=”2″><BR>

&nbsp;</font></td>

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<p align=”center”><b><font size=”2″ color=”#FFFFFF”>Other Questions About This Case</font></b></td>
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<b><font size=”2″>Patient’s Primary Language:</b></font></td>
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English
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<b><font size=”2″>Smoking Assessment:</b></font></td>
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Never
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<b><font size=”2″>Advanced Directive:</b></font></td>
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No
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<tr><td bgcolor=’#FFFFFF’ valign = ‘top’ width=’50%’><p align=’right’><font size=’2′><b>Packs per day:</b></font></td><td bgcolor=’#FFFFFF’><font size=’2′></font></td></tr>
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<p align=”center”><font color=”#FFFFFF” size=”2″><b>Clinical Notes</b></font></td>

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