Short NP note

[date name="variable_1" default="03/26/2022"]

S: SUBJECTIVE DATA (information the patient/caregiver tells you)
Presenting Problem/Chief Complaint:
a statement in quotes describing what the patient needs help with today. Then, provide a focused description of onset, duration, characteristics/severity, associated signs and symptoms for that specific diagnosis, measures used to relieve problem. For new intakes principle symptoms associated with differential diagnoses should be included (always include SIGECAPS for depression)
[textarea name="variable_1" default="Chief compliant/ History of Present Illness"]


Significant events since last visit: Describe any particular occurrences which might impact treatment, which demonstrate progress or decline in functioning
[textarea name="variable_1" default="sample text"]


Response to Treatment: Symptoms that were targeted
[textarea name="variable_1" default="sample text"]


Allergies: 
[text name="variable_1" default="sample text"]

Current listing of psychiatric medications patient is taking
[textarea name="variable_1" default="sample text"]


Non-psychiatric Meds:
Current listing of medications taking for other than psychiatric reasons
[textarea name="variable_1" default="sample text"]

Objective
Vital Signs: 
[textarea name="variable_1" default="sample text"]
A: ASSESSMENT Concise listing of diagnoses using the DSM 5 symptoms and ICD diagnostic codes, data contained in the S and O should support your diagnoses and plan.
I. Primary Differentials Diagnosis
[textarea name="variable_1" default="sample text"]



II. General Medical Conditions
P: PREVENTION/HEALTH EDUCATION/FAMILY EDUCATION:
Indicate prevention information presented (see Guide to Clinical Preventive Services, 2008. AHRQ Publication No. 08-05122, September 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/pocketgd.htm), health education shared with client, or family educational material. Include if patient seems to understand material or any barriers to communication.
CHANGES IN MEDS OR PLAN OF CARE (LABS/FOLLOW UP ITEMS):
[textarea name="variable_1" default="sample text"]

Comments
[text name="variable_1" default="sample text"]