assignment 1
Assignment: Practicum – Week 3 SOAP Note
In addition to journal entries, SOAP Note submissions are a
way to reflect on your practicum experiences and connect these experiences to
your classroom experience. SOAP Notes, such as the ones required in this
course, are often used in clinical settings to document patient care. Refer to
this week’s Learning Resources for guidance on writing SOAP Notes.
Select a geriatric patient that you examined during the last
3 weeks. The patient you select should be currently taking at least five
prescription and/or over-the-counter drugs. With this patient in mind, address
the following in a SOAP Note:
Subjective: What was the patient’s subjective complaint?
What details did the patient provide regarding his or her personal and medical
history? Include a list of prescription and over-the-counter drugs the patient
is currently taking. Compare this list with the Beers Criteria and consider
alternative drugs if appropriate.
Objective: What observations did you make during the
physical assessment? What functional assessments were used?
Assessment: What were your differential diagnoses? Provide a
minimum of three possible diagnoses. List them from top priority to least
priority.
Plan: What was your plan for diagnostics and primary
diagnosis? What was your plan for treatment and management including
alternative therapies? What is your care plan for the patient? How would you
offer caregiver support?
Reflection notes: What would you do differently in a similar
patient evaluation? How might you improve your assessment, diagnosis, and/or
plan through interprofessional collaboration?
Refer to this week’s Learning Resources for guidance on
writing SOAP Notes.
By Day 7 of Week 4
This Assignment is due. You will submit this Week 3 SOAP
Note along with your Journal Entries (from Weeks 1, 2, and 4) by Day 7 of Week
4.
