SOAP Evaluation

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SOAP Evaluation 1. Sign and symptoms/Clinical presentation of disease process a. How did your patient present: 62 y.o. white, female patient with past medical history of hypertension, diabetes mellitus, hypercholesterolemia, hypothyroidism, and obesity presented with chief complaint of a painful vesicular rash on her back down to her waist. “The rash is very painful. It’s a continuous stabbing, burning pain.” She rates the pain 8/10. Pt. reports self-medicating with NSAID, but it was ineffective. She reported that what she’s experiencing makes it difficult for her to perform her usual activities. She stated that the same area where the rash is located started out as red bumps about 3-4 days, ago. She denies fever, chills, nausea and vomiting.…show more content…
& Edwards, H. (2013). Herpes zoster knowledge, prevalence, and vaccination rate by race. Journal of the American Board of Family Medicine, (26)1, 45-51. doi: 10.3122/jabfm.2013.01.120154 Kaye, K. (2016). Herpes zoster: shingles; acute posterior ganglionitis. Merck Manual. Retrieved from Kennedy-Malone, L., Fletcher, K., & Martin-Plank, L. (2014). Herpes zoster. Advanced Practice Nursing in the Care of Older Adults, p.132. [South University]. Retrieved from Medscape. (2016). Herpes Zoster. Retrieved from Solomon, C., & Cohen, J. (2013). Herpes zoster. The New England Journal of Medicine, 369(3), 255-263. Retrieved from Webmd. (2017). Impetigo. Retrieved from Wilson, D. D. (2014). Herpes zoster: A rash demanding careful evaluation. The Nurse Practitioner, 39(5), 30-36.
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