Soap note for geriatric patient in nursing home
Soap note for geriatric patient in nursing home
Location: Nursing Home
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
Treatment
Preventive Health:
Teaching
Staph Infection. Need ICD-10 Codes
Influenza. Need ICD-10 Codes
Sore mouth [ICD-10: K13.79
Acute rhinitis ICD-10: J00
Stomatitis ICD-10: K12.1
Dermatitis [ICD-10: L30.9],
R09.2 | Respiratory arrest
R09.3 | Abnormal sputum
R09.81 | Nasal congestion
R09.82 | Postnasal drip