SOAP note on sickle cell crisis
Write on the past history illness in this order: Location Quality Quality or severity Timing including onset, duration and frequency Setting in which it occurs Factors that have aggravated or relieved the symptoms Associated manifestations.
Medications: list each one by name with dosage and frequency.
Past medical history: include illness , hospitalization,childhood illness.
Assessment: need to list priority diagnosis first. For each priority diagnosis, list at least three differential diagnosis. Support your selection with evidence. For example: Migraine headache (tension headache, cluster headache, brain tumor).
For holistic care write on sickle cell crisis and indicate whether these are controlled or not controlled and remember to include that in your treatment plan.
What evidence or national treatment guidelines did you use to support your diagnoses?