Episodic/Focused SOAP: Nasal symptoms and sinus congestion

Episodic/Focused SOAP: Nasal symptoms and sinus congestion

In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

To Prepare

By Day 1 of this week, you will be assigned to a specific case

Nasal symptoms and sinus congestion

https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nurs-6512-11wk/week-5/Week_5_Dains_Chap25.pdf

Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format.

Will upload template*

Consider what history would be necessary to collect from the patient.

Consider what physical exams and diagnostic tests would be appropriate to gather more information about the

patient’s condition. How would the results be used to make a diagnosis?

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

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