WEEK 4: Routine Screenings, Lifestyle Management, and Mainlining a Healthy Weight

SOAP Note
WEEK 4: Routine Screenings, Lifestyle Management, and Mainlining a Healthy Weight
Lesson 1: Routine Screenings, Lifestyle Management, and Maintaining a Healthy Weight
Assignment Guidelines
Create a SOAP note of a patient who presents with one of the following goals (your choice):
• I want to lose weight. How can you help me?
• I want to quit smoking. How can you help me?
• I want to try to lower my blood pressure naturally. How can you help me?
• I want to lower my cholesterol. How can you help me?
• I want to reduce my stress. How can you help me?
Be sure to include all the components of a SOAP note illustrated in the instructional materials. Please ensure that both pharmacological and non-pharmacological recommendations are included in the treatment plan. Don’t forget to follow up.
 
GUIDE
Introduction
By the end of this assignment, you will be able to:
• Identify routine adult health screenings and immunizations. (CO2)
• Identify appropriate interventions needed to help patients maintain healthier lifestyles. (CO3, CO8)
• Use SOAP notes to record patient observations, assessments, and plans. (CO1, CO2, CO8)
Before you begin, please review what should be included in each component of your SOAP note.
Also, consider reviewing the SOAP note VIDEO below and article Links to an external site..
 

 
SOAP Notes Flip Tile Alternative Version
Also, consider reviewing the SOAP note video Links to an external site.and article Links to an external site..
 
Learning Materials
Before attempting to complete your learning activities for this week, review the following learning materials.
Read the following in your Primary care: Interprofessional collaborative practice textbook:
Chapter 16, “Wellness”
Read the following article. It provides a brief summary of the SOAP note structure. It also provides an example of each component of a SOAP note.
Lew, V., & Ghassemzadeh, S. SOAP Notes Links to an external site.. [Updated 2019 Jan 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
 
The book used for this class and for this assignment is cited here:
Buttaro, T., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). St. Louis, MO: Elsevier Mosby.
RUBRIC
Criteria Expectations
SOAP Note content (>11–12 points)
All components of subjective and objective data are present and supportive of the assessment and treatment plan. Proper terminology is implemented throughout the assignment.
Structure and Mechanics (2 points)
Paper is well organized.
No or very few spelling, grammar, and/or punctuation errors.
Resources (1 point)
Correct APA citations and references provided.