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Here is a quick overview of the components of a SOAP note. **For a complete breakdown, read this article: How to write a SOAP note: 4 basic components of a chart note. The acronym SOAP stands for subjective, objective, assessment, and plan.  S- Subjective: Information provided by the patient, family, etc. Chief complaint History of present…

SOAP notes are essential for effective patient care and documentation in chiropractic care. This guide provides detailed instructions for each section of a SOAP note, helping you understand the structure and content required for thorough documentation in the chiropractic context. By mastering SOAP notes, you can enhance patient care, ensure effective communication among healthcare providers,…

  Assessment The patient is diagnosed with a cervical strain with associated muscle spasm. The clinical impression indicates that the patient’s symptoms are consistent with this diagnosis, likely exacerbated by poor posture and prolonged computer use. Functionally, the patient has significant limitations in neck mobility and experiences pain during prolonged sitting. Since the last visit,…

Assignment: Assessing and Treating Pediatric Patients With Mood Disorders Mood disorders can impact every facet of a human being’s life, making the most basic activities difficult for patients and their families. This was the case for 13-year-old Jeanette, who was struggling at home and at school. For more than 8 years, Jeanette suffered from temper…

Marcus, an 18-year-old high school senior, presents with symptoms of difficulty sleeping and feeling sad, which result in an initial diagnosis of depression. His mother later reports, however, that Marcus exhibits symptoms of irritability and risk-taking behaviors. (His little brother reported to his mother that they were driving over 90 miles an hour on the…

Nurses and other healthcare professionals have developed several evidence-based practice (EBP) models that aid in the implementation of EBP. These models serve as organizing guides that integrate the most current research to create best patient care practices. In addition to helping nurses integrate credible evidence into practice, EBP models help assure complete implementation of EBP projects and optimize the use…

  NurseBuff also said a philosophy could help nurses strive for new goals. Educators should encourage nurses to work to the full scope of their practice, education and expertise. “Your philosophy in nursing can also push you to set higher and better goals for yourself. It can help you rediscover your passion for work and…

American Nurse recommends that students take some time to reflect and answer the following questions before they start writing their personal philosophy. During this period of study and thought, consider the whys and whats of a nursing career: Why did I want to become a nurse? Why is nursing important to me? What qualities make…

Each person enters nursing school with predetermined beliefs. These beliefs impact individual actions, reactions and decisions. A nursing philosophy is deeply rooted in beliefs and values. “Nursing philosophy is based on the what, why and how of nursing, as it applies to you in alignment with your own beliefs and values around nursing practice. You…