NRNP 6675 Walden University Soap Notes Essay
Description
We need to enter 24- 30 weekly psychiatric soap notes for pediatrics and adults:
Below is SAMPLE OF A BRIEF NOTE:
The patient is a 65 yr old male who was discharged from the military 6 yrs ago. The patient has a history of PTSD since ten years ago. The patient came in for medication management. The patient states, “I am still triggered by loudness and have trouble sleeping.” Zoloft was increased to 200mg daily, and trazodone 50mg was added at bedtime. The patient will continue weekly CBT.
The notes can be fabricated however the diagnoses and medications need to be realistic and FDA approved for treatment. The notes need to be a mixture of pediatric and adult patients.
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