InstructionsDownload and analyze the case studyfor this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be

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InstructionsDownload and analyze the case studyfor this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.Download the access codes.Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan. If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.

InstructionsDownload and analyze the case studyfor this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be
Running head: NAME OF CARE PLAN 1 Title of Plan of Care Name South University Online Faculty Name NSG 6001 Date NAME PLAN OF CARE 2 **Please delete this statement and anything in italics prior to submission to shorten the length of your paper. Patient Initials ______ Subjective Data : (Information the patient tells you regarding themselves: Biased Information) : Chief Compliant : (In patient ’s exact words ) Histor y of Present Illness : (Analysis of current problems in chronologic order using symptom analysis [onset, location, frequency, quality, quantity, aggravating/alleviating factors, associated symptoms and treatments tried] ). PMH/ Medical/Surgical History : (Includ es m edications and why taking, allergies, other major medical problems, immunizations, injuries, hospitalizations, surgeries, psychiatric history, obstetric and history sexual history ). Significant Family History : (Includes family members and specific inheritable diseases ). Social History : ( Includes home living situation, marital history, cultural background, health habits, lifestyle/recreation, religious practices, educational background, occupational history, financial security and family history of violence ). Review of Sympto ms : (Review each body system – Th is section you should place POSITIVE for… information in the beginning then state Denies… ). – General :; Integumentary :; Head :; Eyes: ; ENT: ; Cardiovascular: ; Respiratory : ; Gastrointestinal :; Genito urinary :; Muscul oskeletal :; Neurological :; Endocrine: ; Hematologic :; Psychologic : . Objective Data: Vital Signs : BP – ; P ; R ; T ; Wt. ; Ht. ; BMI . Physical Assessment Findings: (Includes full head to toe review ) HEENT : Lymph Nodes: Carotids: Lungs: Heart: Abdomen: Genital/Pelvic: Rectum: Extremities/Pulses: Neurologic: Laboratory and Diagnostic Test Results : (Include result and interpretation .) Assessment: (Include at least 3 priority diagnosis with ICD -10 codes . Please place in order of priority. ) Plan of Care: (Addressing each dx with diagnostic and therapeutic management as well as education and counseling provided ). NAME PLAN OF CARE 3 References

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