Florida International University SOAP Nursing Paper

Please write a SOAP note following guide below. The soap note should be about a pt. that has diabetes.

Subjective

• Opener presentation of the patient (age/sex/presentation of issue with key past DX)
• History of present illness (HPI) (OldCarts)
• Other related past medical history
• Review of systems (ROS)

Objective

• Vital signs and physical exam on pertinent body systems

Assessment

• Assessment including differentials and specific labs or X-rays reviewed

Plan

• Plan that you are suggesting or that was done, including any education, further work-up, specific medications with doses and frequency, consultations/referral, and follow-up.