assignment 1.2 health action plan

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Assignment 1.2 Soap Note Week 1

Advanced health assessment (nurs612), maryville university.

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Soap note week 1, assignment 1: soap note activity, soap note practice activity-week 1, define subjective data. identify what areas of the soap note are considered subjective, subjective data is from the patient's perspective and describes the signs and symptoms of their, condition (ball, et al., 2023, p). the patient's chief complaint is subjective. this is the reason, why the patient is seeking care and is their main concern. the history of the present illness is, also subjective data. this information describes, in detail, the characteristics of the patient’s chief, complaint. other pertinent subjective information collected is past medical history, family, history, and social history., the review of systems is also subjective data, but it's from the perspective of the provider while, being provided by the patient. the review of systems is documented clearly and concisely,, whether the patient is positive or negative for their described sign and symptoms., define objective data. identify what areas of the soap note are considered objective, objective data is directly observed by the provider. the data is collected by what is seen, heard,, and felt and needs to be documented by each body system clearly and concisely (ball, et al.,, 2023, p). objective data is part of the physical exam., where would you document this information in your soap note, o pt denies headache----- review of systems, o fsbs done in office 128------ physical exam, o 10 yo female c/o ear pain x 2 a day---- history of present illness, o a1c last month 6------ past medical history, o home blood pressure log-------past medical history, ball, j. w., dains, j. e., flynn, j. a., solomon, b. s., & stewart, r. w. (2023). seidel’s guide to, physical examination: an interprofessional approach. 10th ed. mosby..