Summative Assessment: Episodic SOAP Note: Tom Walker Part 1
Exam Content
This week you have gained insight about how to properly examine and document findings for the spine, shoulders, elbows, hands, wrists, fingers, hips, knees, and feet and ankles, including specialty tests. You learned the importance of assessing range of motion and muscle strength, along with properly executing specialty exams to further assess joint stability, all to narrow your list of potential diagnoses. You also learned the importance of health history management.
Now it is time to apply your documentation skills by writing the first part of an episodic SOAP note for Mr. Tom Walker who presents to you with multiple complaints.
Review the Tom Walker Scenario.
Use the SOAP Note Template and the SOAP Note Structure Guide to develop your documentation needed to complete the Subjective section of the SOAP Note. You should not complete the entire SOAP note.
Submit your assessment.
please refer to SOAP NOTE STRUCTURE GUIDE help you in doing the assignment. please don’t for get to include the medications.
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