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PHRM 115 SOAP Ruberic/Template - Pharmacist Patient Care Process

PHRM 115 SOAP Ruberic/Template - Pharmacist Patient Care Process

Relevant Evaluation Criteria | Scenario/Model Outcome |

Information Gathering (Subjective & Objective) | |

  1. Gather essential information about the patient's symptoms, including: | |

    a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) | Pimple appeared which is painful and oozing; pimple has grown slightly with white heads around it, tingling sensation present two days ago on bottom lip; pimple has grown slightly with white heads around it |

    b. description of any factors that seem to precipitate, exacerbate, and/or relieve the patient's symptom(s) | N/A |

    c. description of the patient's efforts to relieve the symptoms | N/A |

  2. Gather essential patient history information: (Identify information provided by case. Document N/A if not provided) | N/A |

    a. patient's identity | N/A |

    b. patient's age, sex, height, and weight | female |

    c. patient's occupation | N/A |

    d. patient's dietary habits | N/A |

    e. patient's sleep habits | N/A |

    f. concurrent medical conditions, prescription and nonprescription medications, and dietary supplements | N/A |

    g. allergies | Grass and walnuts |

    h. history of other adverse reactions to medications | N/A |

    i. other (describe) _______ | On menstrual cycle |

Assessment and Triage (Assessment) | |

  3. Differentiate patient's signs/symptoms and correctly identify the patient's primary problem(s). | Herpes simplex Labialis aka cold sores |

  4. Identify exclusions for self-treatment. (Contraindications) | N/A |

  5. Formulate a comprehensive list of therapeutic alternatives for the primary problem to determine if triage to a health care provider is required, and share this information with the patient.Provide at least 3 pharmacologic therapeutic...