Soap Note Sickle Cell Anemia
Please fallow instruction. I need you to make up a soap note using the template for 16 years male patient diagnose with Sickle Cell Anemia Disease. I need you to provide the following: APA format with at least with 5 references no older than 5 years old.
Please and fill out the template completely using your own words for the assessment finding. I included the empty soap note template you must plug the information in it.
Chief patient compliant
Present Medical Assessment (PMH)
Pass Medical Assessment (PSH)
Family History (FH)
Social History (SH)
Review Of System (ROS) completed. Provide complete and concise summary of pertinent information.
The Diagnosis: Sickle Cell Anemia disorder disease ICD 10 code, discuss and describe.
3 differential diagnoses with ICD 10 code describe and discuss why choosing them
Complete vital sign, BMI
Subjective Information
Complete Objective Information
Lab Tests
Allergies
Complete physical exam with critical elements related to subjective data.
Perform Assessment
Minimum of 3 differentials supported by S + O data. Final diagnosis noted and optimal and thorough subjective and objective assessment is presented for final diagnosis.
Create a Plan
Self-Assessment & Clinical Guidelines
Analyze quality and relevance of S + O data and the evidence for diagnosis. Use of clinical evidence based reasoning and literature in designing plan of care, compare to plan of care.B) Discuss Seizure disorder Disease
