Construct a subjective data set for the case study on the provided SOAP note template from the information provided. ? Structure the subjective data set on

2

NU610 Unit 1 Case Study

United States Clinical Preventative Services Task Force (USPSTF) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams.

ROS

(put N/A in sections not completed day of exam)

Constitutional

Head

Eyes

Ears, Nose, Mouth, Throat

Neck

Cardiovascular/Peripheral Vascular

Respiratory

Breast

Gastrointestinal

Genitourinary

Musculoskeletal

Integumentary

Neurological

Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7)

Endocrine

Hematologic/Lymphatic

Allergic/Immunologic

Other

Construct a subjective data set for the case study on the provided SOAP note template from the information provided. ? Structure the subjective data set on first appeared on Nursing StudyMasters.