1. Identify a patient from your pediatric clinicals who provided you with a learning experience.Write a complete SOAP note for the patient encounter.Include the following:
   • A brief case scenario, including pertinent aspects of the history and physical exam
   • Your assessment and plan
   • The patient’s vaccine status, BMI percentiles, nutrient status, and development status
   
   Submit your assignment

2. FYI. you have to make up a patient

3.  

SOAP Note

A Patient From My Pediatric Clinicals

Subjective (S)

Name: T

Race: Black American

Sex: Male

Age: 2 years

Birth Weight: 6lbs5oZ

Allergies: NKDA

Vaccine Status: Up to date vaccinated against all immunizable diseases.

BMI Percentiles: 5^th, 65^th percentile (healthy weight)

Nutrient Status: No primary or secondary malnutrition

Development Status: Dress and undress with a bit of help and can copy a circle

The patient was accompanied by his caregiver, who served as the informant.

Current medications: No prescribed medications.

Chief Complaint: A caregiver reveals that the patient has insisted on looking forward to speech all week.

Patient T seemed alert and awake throughout the therapy session. He transitioned into the session without difficulty. He was highly participative and engaged in every present speech activity.T's teacher commented that he had understood T better in the previous week.

Objective (O)

T produced /r/ at the start of words with an accurate level of 70% using a worksheet with 10 /r/ vs./l/ minimal pairs, provided two verbal reminders; for instance, "Is it rate or late?") and a self-correction mirror.

Assessment (O)

T's correct production of /r/ in the first place improved from 60% in imitation and visual aid during the final session to 70% in the current session. Omission for visual assistance that involves a picture of mouth producing /l/ failed to lower performance.

Plan (P)

T continues to enhance her production of initial /r/. Similarly, a patient continues to fade cues and initial sound model for initial /r/ at the subsequent therapy. She was sent home with four minimal pair worksheets from the JKL reading material and directed T's caregiver on the best ways for completing.