Question

Patient with

Primary admission diagnosis

Left knee DJD. Then she has surgery in her legs, she has total knee replacement. she has orthostatic hypotension, hypertension, sleep apnea, GERD, memory loss

Base on this patient please answer these question below

(S.O.A.P.E. Charting)

Document:

1. Subjective:

2. Objective:

3. Assessment

4. Plan

5. Evaluation

Answer 1

Image 1 explain patient current disease condition and goals to treat disease

Image 2 explain SOAPE charting for orthostatic hypotension

Image 3 explain SOAPE charting for GERD

Image 4 explain SOAPE charting for memory loss

Image 5 explain SOAPE charting for hypertension

1st

Patient Has cuwent condition :- Olethostatic Hypotention, Hypertension, sleep apnea, GERD and memory loss Yter Total Knee Replacement , Goals :--> Patient's Bueathing pattern should be umpuoved. 22 Patient's gastro-oesophgeal sphinctere should be treated to prevent GERD. ropte recoiling of past events needed to enhance memory pucevent fwether memery loss.

2nd

3rd

Evaluation S.O.A.P.E. CHARTING Subjective Data Objective Data Assessment Plan In Subjective with the help of After complete * Use more salt Data :- sphynmomanometer assessment o un patient diet. Patient repouts and pulse oximeter patient, it is & Advice more that she is it is find out identified that I fluids increase feeling weak that patient is Blood volume patient suffering and can't suffering from from hypotension & Wear compression Stockings able to do Hypotension due to treat it work of & to outhostatic Medicine: High sodium daily living. fludrocortisone condition. diet helps to to treat low incuease Blood Blood Pressure pressure. * By proper: plans and implementation hypotension will be treated.

4th

Subjective Obiective Assessment Plan Evaluabon 27 pt. says that she Nuwe identifies that patient has s'meflux disease, After assessment patient is suffering from gastro-oeso- phageal elflux disease. Antacids preescribed & Helps to to treat GERD. I treat the Reduce acid condition intake. can't able to eat food & the food vomit out and regurgitate.

3 pt says Neuse identifies patient losses her memony. that she forget the things After orientation Anti-psychotic Memony can & proper neurological medicines and Be improved assessment, it finde uecoiling moments Butha patient has Heps to treat memory loss. memory loss

5th

This helps to © 4 pt. says that she got Hyper some times. Newese assess Blood pressure of patient which found to Be increased. Aftere assessment, ot find out that patient has Hypertension for treating Hypertension, Stout anti - hypertensive medicines to treat Hypertension reduce hypere- tension