Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case.

Subjective: The patient is a 40-year-old female who is seeking care for chest tightness that she has been experiencing since the morning. She also notes pain in her shoulders and neck and lacks motivation to exercise, although she used to be an active runner prior to this.

Objective: Vital signs are within normal range; upon physical examination there was tenderness/pain in the shoulders, neck, as well as mild chest discomfort.

Assessment: Based on the history and physical findings, it appears that the patient may be suffering from stress-related illness or chronic fatigue syndrome (CFS). However further evaluation including laboratory tests may be necessary to rule out other potential causes such as cardiac disease or infection.

Plan: Referral to primary care physician for further evaluation/management. Recommend lifestyle modifications such as reducing stress levels through mindfulness techniques/meditation, increasing activity level gradually with regular breaks throughout day & engaging social support system when needed. Provide education regarding nutrition & sleep hygiene & recommend follow up visit in 2 weeks if symptoms persist