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Write a soap note for mr. adam pratts who is 28 year old, presents in the clinic requesting for help with his drug and alcohol addictions.
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NU674-7D Unit 10 Assignment – Clinical SOAP Note
Write a SOAP note for Mr. Adam Pratts who is 28 year old, presents in the clinic requesting for help with his drug and alcohol addictions. Patient has been using Heroin and Fentanyl at the age of 20 and has been drinking a pint of hard liquor since he was 18 years old. Pt has been diagnosed with depression, anxiety, and paranoia schizophrenia, which has increased since he stop taking his medications 6 days ago.
Follow the rubric to develop your SOAP notes for this term, which is attached.
The focus is on your ability to integrate your subjective and objective information gathering into formulation of diagnoses and development of patient-centered, evidence-based plans of care for patients of all ages with multiple, complex mental health conditions. At the end of this term, your SOAP notes will have demonstrated your knowledge of evidence-based practice, clinical expertise, and patient/family preferences as expected for an independent nurse practitioner incorporating psychotherapy into practice.
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