SOAP NOTE WEEKO QUADRO
I will share a few helpful tips to help with Ihuman.
Regarding the history section: when you type a question the avatar will match it to their questions so just choose what is available. There is no need to ask long in-depth questions. When asking questions follow the acronym LOCATES or OLDCHARTS. I also writedown the important information on paper to help develop an HPI. Once I hit about 15 questions, I click on hint to see what I am missing then continue to ask questions based on what I am missing until I reach 60 questions.
Regarding HPI: I start the sentence by Darius Davis is a 62-year-old African American male who presents to the clinic with…” and then I follow LOCATES. That format turns the information into a PARAGRAPH. I make sure it flows so sometimes the letters (LOCATES) are not in order. I also add any relevant information that directly relates to the chief complaint. For instance: Be detailed …I attached everything concerning him.
Regarding the Management Plan:
*** I did everything in bullets under each title***
Therapeutic/Non-therapeutic Modalities
· Mention all pharmacological and nonpharmacological treatments
· Add “name, dose, frequency, and duration”
Additional Labs and Diagnostic Tests
· Add all necessary tests
· If there are no test needed, then type none needed at this time
Health Promotion
· List all the health promotion of the patient’s age
· For example: breast screening, colonoscopy, and motor vehicle occupant restraints
· FOR RECOMMENDATIONS SEARCH: https://uspreventiveservicestaskforce.org/uspstf/home
Patient Education
· Add information such as letting the patient know how long their symptoms will last
· Make sure it is in depth as if you are verbally teaching the patient
Social Determinants of Health
· Mention some barriers to treatment based on patient age and information
· For example: health care access, prescription and medical coverage, and education.
· SEACH: https://health.gov/healthypeople/priority-areas/social-determinants-health
Consults
· Add if patient needs any consultation on their condition (ex: dermatologist, cardiologist)
Disposition
· Add if patient needs to return to the clinic or seen by a specialist
· Make sure it is time specific
· Put N/A if none
References
Add 3 references that are relevant, timely (less than 5 years), and professional
You can also add references from Heathy People 2030 or USPSTF. BUT YOU STILL NEED THE 3 SCHOLARLY REFERENCES