Well-child SOAP note

Submit a Well-child SOAP note for grading. You must use an actual patient from your clinical practicum. Use the format below for your SOAP note as a reference and add/edit as needed depending on the age of the child/baby You may refer to the following websites for additional information on the recommended schedule: Healthy Children.orgLinks to an external site.Links to an external site. Centers for Disease Control and PreventionLinks to an external site.Links to an external site. Bright FuturesLinks to an external site.Links to an external site. Well-child SOAP Note Format Demographic Data Age, and gender (must be HIPAA compliant) Subjective ___-day/week old infant/child accompanied by ___________ and here for a routine well-child/baby check (and vaccines). Any parental concerns/ questions today? Interval Events/History: Nutrition: Elimination: Sleep: Medications: Allergies: Past Medical Pregnancy and delivery? Surgeries, hospitalizations, or serious illnesses to date? Immunizations? Development: (describe as applicable to age) Gross motor: Fine motor: Cognitive: Social/Emotional: Communication: Social History: Smoking in the home? Family life/structure/dynamics? Primary caregivers? Stressors? Family History: Objective (Should be a thorough head to toe assessment) Vital Signs/growth measurements (weight, length, head circumference, BMI, BP, HR, etc. if applicable) Physical findings listed by body systems, not paragraph form. Highlight abnormal findings Growth Chart Percentages: if applicable Labs/Studies: if applicable Assessment Well-child visit ICD10 code(s) Plan Vaccines today: Anticipatory guidance (discussed or covered in the visit)? Health Maintenance Return precautions?