Case study

In the case study provided

 

·       Analyze the subjective portion of the note. List additional information that should be included in the documentation.

·       Analyze the objective portion of the note. List additional information that should be included in the documentation.

·       Is the assessment supported by the subjective and objective information? Why or why not?

·       Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

·       Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using evidence-based literature.

 

*If there is any information missing, you must add it, in order to make your analysis complete*

Paper should be in Narrative format and NOT SOAP note