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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