soap note for older adult patient in nursing home 1

Hello follow instruction, please can you use these ICD-10 Codes and diagnosis to make up 10 Soap notes with each of them for older adult patients or residents age 50 year old and up currently living in a Nursing Home Facility or Long Term Care Patients. Below is a sample of what to include in the notes how to do the soap notes. Use different age, Vital sign, sex, Mental status, weight, inches, BMI, ECT…… and information for each soap notes.

Location: Nursing Home

Age: From 50 year old and up 69 years

Sex: Female and male

Height:

Weight: in LBS

BMI

Temperature:

Pulse:

Blood pressure:

Respiratory rate:

SpO2: on room air

Allergies:

Chief complaint:

HPI:

Past Medical History:

Immunization.

Rx (medications

FHx (family history):

Smoking

SHx (social history) SHx (social history)

Plan

Preventive Health:

Teaching

10) I69.298 Other sequela of nontraumatic intracranial hemorrhage

I69.398 Other sequela of cerebral infarction

I69.998 Other sequela following unspecified

I48.0 Paroxysmal atrial fibrillation

I48.2 Chronic atrial fibrillation

I48.91 Unspecified atrial fibrillation

Altered mental status

R41.0 Disorientation, unspecified

R41.82 Altered mental status, unspecified

Lack of coordination

R27.0 Ataxia, unspecified

R27.8 Other lack of coordination

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