Case Study Assessment on Cough with soap note


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Case Study Assessment on Cough with soap note


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This is the case study on Cough with soap Note. Assessment of the Heart, Lungs, and Peripheral Vascular System. Review your course syllabus for the specific learning objectives. This week you have 1 Discussion boards due: Assessing the Heart, Lungs, and Peripheral Vascular System. You have been assigned to 1 of the 3 case studies: #1 Shortness of Breath, #2 Chest Pain, and #3 Cough. Your Discussion should be in SOAP format. With regard to the case study you were assigned: COUGH Review this week’s Learning Resources and consider the insights they provide. 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. Note:Before you submit your initial post, replace the subject line (“Week 5 Discussion”) with “Review of Case Study ___” identifying the number of the case study you were assigned.Your main post is due on day 3 and your responses to other students due by day 6. During my grading I look for a substantive main post in SOAP format with responses to your classmates with cited references to your response. Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack? In order to adequately assess the chest region of a patient, nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities. Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Resources Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby. Chapter 11, “Cough” (pp. 118-147) A cough is a very common symptom in patients and usually indicates a minor health problem. This chapter focuses on how to determine the cause of the cough through asking questions and performing a physical exam. Sullivan , D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis. Chapter 6, “Outpatient Charting and Communications” (pp. 119–141)