I am having a hard time doing a soaps note with the following information for my medical terminology class. REVISIT PATIENT COMPLAINTS AND ANY EVALUATIVE INFORMATION • DEVELOP PROBLEM LIST AND DIFFERENTIAL DIAGNOSIS • WHAT IS YOUR DIAGNOSTIC PLAN? • WHAT IS YOUR THERAPEUTIC PLAN? • PATIENT EDUCATION? VITAL SIGNS WHILE LYING SUPINEBP=122/80 MMHG, HR=82,RR=12BPM, TEMP=98.2°YOU ASK THE PATIENT TO SIT UP INPATIENTBED TO RETAKE HIS BLOODPRESSURE AND LISTEN TO HISLUNGS (HE TELLS YOU HE CAN SITUP ON HIS OWN)EVALUATIONBP=98/64 MMHG BLOODPRESSURE DECREASE OF20 MM HG OR A DICONTINUEDBLOOD PRESEREASE OFM HG WITHINMINUTES OF STANDINGLUNG SOUNDS NORMALSKIN WITHOUT BLUE TINGE OFCOLOR, FLUID ACCUMULATIONUNDER THE SKIN, ORABNORMALLY PALE COLOR OF THESKIN. NURSING ADMISSION NOTE:patient number: QU3876• Pt. is a 30 y/o male who lives alone in an apartmentwith primary complaint of decreased functional mobility.Pt. was recently treated at the urgent care centerlocated in the local Walmart following a fall whileCHARTgetting out of bed the week before. He was taken tothe center by his friend that lives in the same building.REVIEWSecondary complaints of:intermittent headache• High sensitivity to pain• Tingling feeling• Passing outEnglish Speaking

I am having a hard time doing a soaps note with the following information for my medical terminology class. REVISIT PATIENT COMPLAINTS AND ANY EVALUATIVE INFORMATION • DEVELOP PROBLEM LIST AND DIFFERENTIAL DIAGNOSIS • WHAT IS YOUR DIAGNOSTIC PLAN? • WHAT IS YOUR THERAPEUTIC PLAN? • PATIENT EDUCATION?

I am having a hard time doing a soaps note with the following information for my medical terminology class. REVISIT PATIENT COMPLAINTS AND ANY EVALUATIVE INFORMATION • DEVELOP PROBLEM LIST AND DIFFERENTIAL DIAGNOSIS • WHAT IS YOUR DIAGNOSTIC PLAN? • WHAT IS YOUR THERAPEUTIC PLAN? • PATIENT EDUCATION?

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Outpatient And Physician Office Coding

Section: Chapter Questions

Problem 2MC

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