Hello Natalie! The SOAP note was extensive and detailed. It may also be used by the client as a pre-requisite tool for solving his issue. The client has been presented in an organized, clear and pertinent manner. The comprehensive data from your physical exam can help you communicate clearly with other multidisciplinary teams.
Your inquiry about the history and presenting symptoms of dysuria is enough, even if the client presents with the condition. This will allow you to pinpoint the client’s problem. Dysuria continues to be diagnosed by urinalysis. If nitrite levels have increased, it is possible to predict if a positive urine culture will be obtained.
Dysuria is most often caused by infection. Therefore, antibiotic therapy continues to be the best and most economical treatment. Natalie reminds us to be cautious about antibiotic resistance. Once the pathogen has been confirmed, prescribe antibiotics. To decrease resistance instances, it is important to educate patients about the importance of following the recommended treatment plan. Because dysuria can be caused by many different causes, the SOAP notes are comprehensive and address all elements of physical examinations and testing. Continue your excellent approach!