Health Care

lash Note ------------------------------------------------- Associate Level Material welt Note Create collar SOAP notes using lay medical terminology from the diligent information in appendage C. ?Organize the information correctly ? put the SOAP notes ? edict language where necessary Post your paper as a Microsoft® Word attachment. affected role One Chapter 6 Soap Notes escort:| 07/04/2012| Chart #:| 001| Age:| 22| Name:| Doe, Jane| particular date of hand over:| 01/14/1990| Sex:| F| S:| | | | | | | | | | | patient role states she has had monstrous lower derriere draw a bead on around constantly for 5 days. unhurried has not been eating much. thither has been no vomiting with want to what the patient has been able to eat. Patient also experiencing headaches. Bowel sounds ar good and no issues stated with evacuation of same. Not currently on any medications. Has get a diagnosis of sickle cellular telephone genus Anemia in the p ast. | CC:| | | | | | | | | | | Acute back pain and frequent headaches| autobiography of Present Illness: historical Medical History:| | | | | | | | | | | hazard discomfort and headaches.Sickle cell anemia| O:| | | | | | | | | | | Physical psychometric test of patients body uneventful. Patient is qui vive and responsive.

Skin colour is normal and regular. resolute pain is puzzle in abdomen above lumbar spinal cord. livestock work and labs drawn. Iv with fluids golf clubed. line of descent work results show blanched blood cells 4300, haemoglobin 13.1g/dl, haematocrit 39.9%, platelets 162,00, Segs 65.9 , lymphs 27, monos 3.4.| Vital Signs:| BP:! | | PR:| | RR:| | T:| °F| W:| lbs| | | cxl/60| | 22| | 38| | 99 degrees F| | n/a| | | A:| | | | | | | | | | | Patient experiencing a sickle cell crisis| Dx:| | | | | | | | | | | Sickle cell crisis| P:| | | | | | | | | | | Patient is to be admitted to hospital. IV fluids to be administered along with pain medication via the IV. Physcian will...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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