NR603 Advanced Clinical Diagnosis and Practice Across the Lifespan
Week 6 Mental Health Final SOAP/Analysis – Part 2
Please see Couse Resources for Week 6 Mental Health Presentation Rubric
The final SOAP will include your case with diagnosis and treatment plan in SOAP format. After you write out the SOAP include the following sections in a large area called ANALYSIS:
Pathophysiology and Pharmacology: For the primary diagnoses in the case, write a brief summary of the underlying pathophysiology and tie pharmacological treatment chosen in the reversal or control of that pathology.
Additional analysis of the case: This includes national guidelines that were or should have been used to make diagnosis or treatment and review how they applied or how care was unique but based in guidelines.
Follow-up: This means how the patient was doing when seen a second time if this applies. This would be their response to your plan of care.
Quality: Include anything that should have been considered in hindsight or changes you would make in seeing similar patients in the future with the same complaint, history, exam, or diagnosis. Add anything you learned from discussion in the class that shed new light on this patient.
Coding and Billing. Any or all CPT and ICD-10 codes that should have been used (List them and name them only.