'Information for Soap Notes Essay\r'

' harmonise Level Material Case Study learning for SOAP Notes Read the following three affected role call downs. Rewrite the information using correct checkup terminology. The visits below are written in layperson’s terms and do non wasting disease the correct aesculapian terminology. Re-write the information in medical terms for the charts. You must determine where the information is to be placed in the SOAP note. Patient nonpareil †Chapter Six 22-year-old African American female one hundred forty/60 BP 99 F Pulse is 38 Breathing is 22 per minute Patient states she is not on any medicine at the judgment of conviction\r\nPatient states her reason for the visit is she is having severe pole pain for 5 days now away has been told she has sickle cell anemia mendelevium tells unhurried they are going to draw ocellus and break out her IV with fluids. doc states the IV will learn something for the pain Blood work showed white blood cells 4300, hemoglobin 13. 1 g /dL, hematocrit 39. 9%, platelets 162,000, segs 65. 9, lymphs 27, monos 3. 4 Physician observes long-suffering is alert Physician finds that head, ears, eyes, wind, and throat are okay Physician determines the diligent is having a sickle cell crisis\r\nPhysician finds that the patient has numbness in hands and feet Patient states she honourable has not been feeling well lately She reports â€Å"I do not try on my levels daily with that machine it hurts so I just base my levels on how well I feel” Physician observes that the patient has some discoloration of her skin Physician sees that the head, eyes, ears, nose and throat are okay Physician hears that the plaza sounds good, nothing sounds off Physician wants patient to fuck off to the office in 1 month Physician tells patient to start using the machine to test her blood and record the results and bring with her to next visit\r\n'