Advanced Theoretical Perspectives of Nursing > SOAP NOTE > Chamberlain College of Nursing - NR 603NR603 Week 6 Case Summary (All)

Chamberlain College of Nursing - NR 603NR603 Week 6 Case Summary

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Running head: WEEK 6: SUMMARY 1 Week 6: Case Presentation Chamberlain University NR603: Advanced Clinical Diagnosis and Practice Across Lifespan March 2018SOAP Week 6 Patient Information: S.C.... , 48-year-old female, Caucasian, insurance unknown. (S) Subjective: CC: "increasing weight despite dieting" HPI: 48-year-old white woman complaining of increasing weight gain despite diet over past 4 months. Has less energy than usual, decreased interest in usual activities, less able to complete routine tasks, and generally slowed up. Dissatisfied with her overall appearance and inability to lose weight. Current Medications: Denies prescription medication. Takes daily multivitamin for last month. Allergies: NKDA. PMHx: HTN. PSHx: Denies past surgeries. Hospitalization for childbirth x2. G2P2. Childhood Illnesses: None reported. Immunization Hx: Unsure of immunization status. No recent influenza, tetanus. Other Screenings: Not reported. Soc Hx: The patient reported that she had recently quit smoking ‘cold turkey’ and had successfully [Show More]

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