Assignment: SOAP Note Assignment

Assignment: SOAP Note Assignment

Assignment: SOAP Note Assignment

The following outlines what should be included in the extended SOAP note:

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Disease Background

1. Anatomy

2. Etiology

a. Risk factors

3. Pathophysiology

a. Consequences: adult and Geriatric

4. Epidemiology

a. Cultural, age, race, gender, US, International

5. Prognosis

6. Patient Education

III. Treatment Evaluation

1. Approach considerations

a. Guidelines and literature referenced

2. Complications

3. Health promotion and risk reduction

4. Medicolegal Concerns

5. Future Research needed

6. Consultation

7. Long term monitoring

8. Ethical and cultural consideration

9. Cost

IV. Critical Reflection of interaction and investigation.

V. Minimum of five test questions and answers based on objectives and presentation.

1. Reference page. A minimum of five scholarly sources should be used for your presentation. (Course texts can count for one source only; if using data from websites you must go back to the literature source for the information—no secondary sources are allowed.)

Pneumonia is an infection of the lung parenchyma. It is caused by viruses, bacteria, fungi, and parasites and includes interstitial tissue and alveolar spaces. Pneumonia can present as a complication of another illness or disease or it can be a primary condition as a result of different organisms (Bartolf & Cosgrove, 2016). The classification of pneumonia is based on where and how it was acquired. The different classifications of pneumonia are: 1) community acquired pneumonia – where the patient has not been in the hospital or a nursing home within the last fourteen days; 2) hospital acquired (nosocomial) pneumonia – where the patient acquires pneumonia forty eight hours or more after being admitted to the hospital; 3) ventilator acquired pneumonia – where the patient acquires pneumonia forty eight hours or more after being intubated; and 4) healthcare associated pneumonia – where the patient has had two or more days of contact with someone in the healthcare system within the last ninety days (Bartolf & Cosgrove, 2016).

Risk factors. There are several risk factors associated with pneumonia such as: chronic lung disease, being in an immunocompromised state, gastroesophageal reflux disease, environmental or animal exposure, recent influenza infection, injection drug abuse, institutional residence, impaired mentation with aspiration risk, and other iatrogenic risk factors (Bartolf & Cosgrove, 2016).

 

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