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The priority diagnosis of Pelvic Inflammatory Disease (PID) and differential diagnoses of gonorrhea and chlamydia with urethritis.

research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

 

 

Next determine the ICD-10 classification (diagnoses) 

 

 

The priority diagnosis of Pelvic Inflammatory Disease (PID) and differential diagnoses of gonorrhea and chlamydia with urethritis.

 

THESE ARE THE ICD CODES

 

N73.9-  PID (CMS.gov, 2016)

 

A56.01- Chlamydial urethritis (CMS.gov, 2016).

 

A54.9 – Gonococcal infection (CMS.gov, 2016)

 

 

The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

 

Download the SOAP template  I will attach a copy in the file to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.  If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.

 

 

Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be no longer than 4 pages excluding the title and the references and in 12pt font. PLEASE DO NOT WRITE MORE THAN 4 PAGES. INCLUDE A SHORT INTRODUCTION AND OF COURSE A CONCLUSION. NO PLAGIARISM.

 

Peer-reviewed (refereed or scholarly) journals

 

 

Chronological order of OPQRST. Subjective and HPI should not be written in narrative, and should follow the SOAP template.
Minimum of 3 differentials supported by S + O data A: ICD-10 codes in order of priority:
Diagnostic tests/therapies/follow-up, Patient education, health promotion. Medications listed with dosage/SE/Education/: details about the actual treatment plan that should include specific therapeutic management, treatment, and education

 

 

There are similar examples of this assignment on course if you need extra help.

 

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