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Conduct and document a patient history in a soap note format


Problem:

Please provide current in text citations and references

Conduct and document a patient history in a SOAP note format. This will only include the Subjective part of the SOAP note but is a great way to practice starting your write up. Need Assignment Help?

Find a family friend and complete a history on them (Please DO NOT include real names or identifiers.

Include the following components: Identifying data, source of history, chief complaint, present illness, medication, allergies, past medical history, past surgery history, family history, and social history.

Chief complaint - CC should be quoted from the patient

History of present illness - Look into the chief complaint more and use the pneumonic OLDCART

Past medical and surgical history

Family history - Look into parents, siblings, and grandparents

Personal social history

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Other Subject: Conduct and document a patient history in a soap note format
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