SOAP Note Respiratory Condition Acute or Chronic SOAP Note: Respiratory Condition Acute or Chronic (3 pages) Students will complete 4 Focused SOAP notes on three different patients and three different diagnoses that have been pre-selected for you. For this SOAP you have the opportunity of selecting a Respiratory condition (Acute or Chronic) (Pneumonia, COPD, Asthma Bronchitis) . I look forward to seeing what you select. Visits for refills of medications are not acceptable for this assignment. Instructions: * You will focus on a patient with a new or existing RESPIRATORY condition who is being started on a new medication or whose current medications are being adjusted. A visit for refills without additional clinical decision-making will not be accepted. 1. SOAPs must be the student’s own work. If sections of the SOAP are not the student’s work, for example, from a preceptor’s note it should be identified by italics. A SOAP template is provided. No identifying information should be included in the note, which would be considered a HIPPA violation. 2. SOAP notes submitted for the course include more information than the notes that students may submit in clinical. The submitted note is used for coaching and evaluation of the student’s progress in developing clinical and diagnostic thinking. 3. Clinical Decision Making: This section is designed to further assist in your learning from this patient case and disease process. Ensure to address the questions in their entirety. (See template). 4. References used in your SOAP should include a “Reference” heading at the end and in APA format. 5. Do not forget to look at the Rubric. Focused SOAP Template Student Name Course: Assignment: Date: SUBJECTIVE: (only what the patient tells you; not findings from the physical exam) C/C: HPI: OLDCARTS Review of Systems: General or Constitutional: HEENT: Skin: Neck: CV: Respiratory Gastrointestinal Genitourinary/Gynecological Musculoskeletal Neurological PMH/PSH: Fam Hx: Social Hx: Meds: Allergies: Immunizations: ( OBJECTIVE: (only findings from the physical exam; not what the patient tells you) Vital Signs Labs/procedures: (these are point of care diagnostics) glucose, A1c, Rapid Strep, UA, Orthostatics, or labs recently drawn in preparation for today’s visit. Physical Examination: General or Constitutional: HEENT: Skin/Hair/Nails: Neck: CV: Respiratory Gastrointestinal Genitourinary/Gynecological Musculoskeletal Neurological ASSESSMENT: Problem List (Dx