Clinical Encounter with William

SOAP Assignment 3 Instructions

  1. Review the video of a clinical encounter with William. HERELinks to an external site.
  2. Using the information provided and the Acute focused history and physical guide/SOAP note template:
    1. Write a SOAP note of the encounter.
    2. Include at least 3 differential diagnoses.
    3. Include a plan for the patient that includes
      1. any lab or imaging studies ordered (if applicable to the case)
      2. non-pharmacological treatment
      3. pharmacological treatment (may be nonspecific by suggesting ‘an antibiotic 
      4. or a blood pressure lowering agent’)
      5. Return to work/school instructions (if applicable to the case)
      6. appropriate health promotion/disease prevention
      7. after care instructions
      8. follow up if necessary
    4. Include an additional section that includes any information you would have asked differently or in addition to what was provided (your response here may be n/a)
    5. Include at least one reference to support your recommendations

Need answer to this question?

Link to the video of William:  

https://dukenursing.mediasite.com/Mediasite/Play/e6c019a58fb84fd39f1e8372f7c943961d

PLEASE follow the attach grading rubrics attached on a separate file. Reference will also be sent in a different file, but you can also use a different one apart from this.

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