You will also create a focused SOAP note PowerPoint presentation. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.
S =Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS). O =Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status ExamA =Assessment: Primary Diagnosis and two differential diagnosis including ICD-10 and DSM5 codesP =Plan: Pharmacologic and Non-pharmacologic treatment plan; Follow up plan, diagnostic testing/screening tools, and follow upOther: Incorporate current clinical guidelines (Links to an external site.)https://www.nccih.nih.gov/health/providers/clinicalpractice (Links to an external site.) research articles and the role of the PMHNP in your presentation
Submission Instructions:
The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
The presentation should consist of 10-15 slides
Incorporate a minimum of four current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style, 7th Edition (the library has a copy of the APA Manual).