Soap Nursing


Week 9 Read Carefully

Posted on: Monday, July 25, 2022 12:43:00 PM EDT

Hello students welcome to Week 9 this week, you will explore methods for assessing the cognition and the neurologic system.

Learning Objectives

Students will:

  • Evaluate abnormal neurological symptoms
  • Apply concepts, theories, and principles relating to health assessment techniques and diagnoses for cognition and the neurologic system
  • Assess health conditions based on a head-to-toe physical examination.

During Week 8 you explored how to assess the musculoskeletal system. At this point you should be able to identify abnormal musculoskeletal findings, apply concepts, theories, and principles related to health assessment techniques and diagnoses for the musculoskeletal system and evaluate the musculoskeletal x-ray imaging.

 

Assignment 1: Case Study Assignment: Assessing Neurological Symptoms

Imagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors.

In this Case Study Assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

 

 

Week 1 Assignment- Case Study- Assessing Neurological Symptoms

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study you were assigned.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. You will be making up the information that is missing to complete this soap note.

The Case Study Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.  

Submit your Assignment By Day 6 of Week 9.

 

 

Case Study: Forgetfulness

Asia brings her 67-year-old father into the office stating he is very forgetful. He has lost his car keys several times. She also states he has driven to the store and called her asking for directions to get back home.