create 12 geriatric only soap notes

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Create 12 Geriatric ONLY Soap notes. Avoid repeating diagnosis. This needs to be from an FNP new perspective in a clinic setting. Include a variety of preventive visits, chronic, and wellness disorders annual exam pertaining only to this population.Include developmental appropriate stages. Every soap note needs a diagnosis and therapeutic section must have medications and full prescribing instructions specifically for the geriatric population. .Include low to medium complexity in ICD code.

Documentation Requirements

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Must Include

  • Patient Demographics Section:
  • Age
  • Race
  • Gender
  • ï‚· Clinical Information Section:
  • Time with Patient
    o Reason for visit
    o Chief Complaint
    o Social Problems Addressed
  • ï‚· Medications Section:
    o # OTC Medications taken regularly
    o # Prescriptions currently prescribed
    o # New/Refilled Prescriptions This Visit
  • ï‚· ICD 10 Codes Category:
    o Include for each diagnosis addressed at the visit
  • ï‚· CPT Billing Codes Category:
    o Include Evaluation and management code
    o Provider procedure codes (pap smear, destruction of lesion, sutures, etc.)
  • ï‚· Other Questions About This Case Category:
  • o Age Range
  • o Patient type
    o HPI
    o Patients Primary Language
    o Did you chart on the patient record?
    o Discussed Management with the Preceptor Handled Visit Independently
    o Preceptor Present During Visit

ï‚· Clinical Notes Category :

PLEASE follow this format

ChiefComplaint: “***”
DIAGNOSIS: must have
PLAN:

Diagnostics:
Therapeutics:include full prescribing information safe dosing
Education: Include (Developmental Stage guidance)

Consultation/Collaboration:

5 days ago

 

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