SOAP NOTE WEEKO QUADRO

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Thisaretipstohelpyou.docx

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