16 Dec Create a Focused SOAP Note

Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.

· Select a patient of any age (either a child or an adult) that you examined during the last 3 weeks.

· Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations. Please Note:

· All SOAP notes must be signed, by your Preceptor. Note: Electronic signatures are not accepted.

· When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of the completed assignment signed by your Preceptor.

· You must submit your SOAP note using Turnitin. Note: If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy.

· Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record.

· Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning.

· Ensure that you have the appropriate lighting and equipment to record the presentation.

Mood Disorder

2 Anxiety Disorder

Student Notes

the patient is a 19-year-old African American female with a history of depression and anxiety, currently managed on Seroquel 450 mg and Hydroxyzine. She reports doing well on her current regimen. Her history is notable for past substance use, including cocaine and marijuana, and a prior psychiatric hospitalization. The patient resides with her mother, who provides support. Continued monitoring of her mental health and maintenance of her current treatment plan are recommended to sustain her progress and prevent relapse.