SOAP Note for a Patient with Pain, Swelling, and Redness (Case Study Sample)
a nursing paper that required use of soap note format. A case was presented requiring the student to provide aubjective, obejective and assessment. based on the assessment , the instructiona required the student to predict the possible conditions. the differential diagnosis for the patient case included lymphedema, osteomylitis, venous stasis dermatitis and deep vein thrombosis. the srudent was also required to formulate a plan to improve the patient's symptoms
source..
Nursing
Student’s Name
Department, Institutional Affiliation
Course Name
Professor’s Name
Date
Nursing
SUBJECTIVE
CC: “Pain, swelling, and redness.”
HPI: Patient presents with edema, swelling, and pain in the lower extremity. The patient denies taking any medication to relieve pain. Moreover, the patient denies applying cream to manage the condition.
Allergies: NKA.
ROS:
General: Patient complains of pain, swelling, and redness. The patient denies fever or red chills.
HEENT: Head-hair is of normal texture and distributed evenly. Eyes- No vision loss, yellow sclerae, no blurred vision. Ears-No evidence of hearing loss. Nose- No runny nose/sneezing. Throat-patient does not have a sore throat.
Cardiovascular: No deformities in the heart. No pathological pulsations.
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