Health Care Charting Nursing School

Write a 1000-word essay summarizing each of the two different charts below, how they will be used in your chosen career, proposed improvements and better ways this information could be conveyed. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least one (1) citation in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
SOAP Charting
Your assignment is to include the list below and put the items in a SOAP format. You will want to research to find a form of your choice. You may add words to make sentences out of some of these items. When you get done, you should be able to view the notes and have a picture of this patient and know the next steps. Make sure that you have the needed information from your research of SOAP notes.
John Smith, DOB 08-10-1951 came into the clinic to see Dr. Jerry Jones. Below are notes taken during Mr. Smith’s visit.
Blood Pressure: 165/85
Patient complains of left arm pain.
Complains of leg weakness and increases with going up steps
Diagnosis: Hypertension, bilateral edema legs, and ankles, Heart Disease, Diabetes
Elevate legs for 1 hour 4 times a day
Height: 182 cm
Inflammation on both lower legs
Pain is aching
Pain is better when I elevate my legs
Pain is worse at night
Peripheral edema, both ankles
Prescribe Hydrochlorothiazide, 25 mg tablet, 1 per day in the am.
Pulse Oximetry: 97%
Pulse: 60 bpm
Rate pain 5 out of 10
Respiration: 16 bpm
Return for follow-up in two weeks
Temperature: 98.5
Wear support stockings till next appointment
Weight: 165 kg
X-rays show no fractures
PIE Charting Assignment
Review the bottom of page 160 of your text for patient charting using the PIE method. Using your creative mind, create a problem, provide interventions, and identify the results (evaluation). Your problem should include a paragraph (min 100 words), interventions (at least two – min 100 words) and evaluation is a paragraph (min 100 words).
Assignment ExpectationsLength: 1000-word essay plus each of the charts.Structure: Submit the appropriate format for each item. Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment.References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least one (1) scholarly citation to support your claims.Format: Save your assignment as a Microsoft Word document (.doc or .docx).

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.