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Soap Note For Older Adult Nursing Home Patient

Question Description

Hello follow instruction, please can you use these ICD-10 Codes and diagnosis to make up 10 Soap notes with each of them for older adult patients or residents age 50 year old and up currently living in a Nursing Home Facility or Long Term Care Patients. Below is a sample of what to include in the notes how to do the soap notes. Use different age, Vital sign, sex, Mental status, weight, inches, BMI, ECT…… and information for each soap notes.

Location: Nursing Home

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Type of Paper

When is it due?

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Age: From 50 year old and up 69 years

Sex: Female and male

Height:

Weight: in LBS

BMI

Temperature:

Pulse:

Blood pressure:

Respiratory rate:

SpO2: on room air

Allergies:

Chief complaint:

HPI:

Past Medical History:

Immunization.

Rx (medications

FHx (family history):

Smoking

SHx (social history) SHx (social history)

Plan

Preventive Health:

Teaching

10) I50.40Unspecified combined systolic (congestive)

and diastolic (congestive) heart failure

I50.41 Acute combined systolic (congestive) and

diastolic (congestive) heart failure

I50.42Chronic combined systolic (congestive) and

diastolic (congestive) heart failure

I50.43 Acute on chronic combined systolic

(congestive) and diastolic (congestive) heart

failure

I50.9 Heart failure, unspecified

Debility, unspecified R53.81 Other malaise

G30.0 Alzheimer’s disease

MRSA. … Need ICD-10 CODE

Urinary Tract Infections. …NEED ICD-10 CODE

Pneumonia. …NEED ICD-10 CODES

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