You have been reviewing SOAP or partial SOAP notes in prior units.
Review the Subjective and Objective elements of the attached document to determine the appropriate
diagnoses to assign (‘A’) and construct an Evidence-based ‘Plan”.
Use your ‘model’ thinking as you assign the diagnoses including in parentheses behind each diagnosis the
pertinent positives and pertinent negatives that you are using to support the diagnoses you assigned
Elements of the ‘plan’ need to reflect current EBP and CPGs. Be sure to include appropriately constructed intext citations.

Atopic dermatitis (eczema) is a condition that makes your skin red and itchy. It’s common in children but can
occur at any age. Atopic dermatitis is long lasting (chronic) and tends to flare periodically. It may be
accompanied by asthma or hay fever. (Mayo Clinic . (2020, June 12). Atopic Dermatitis is a common disorder
that can impact an individuals life and their quality of life. Atopic Dermatitis can develop in various ways such
as environmental irritants, infectious irrantants. autoimmune reactions and inflammation.
Atopic dermatitis can come with a stigma, such as individuals feel with psoriasis. “Psoriasis is a skin disease
that causes red, itchy scaly patches, most commonly on the knees, elbows, trunk and scalp. Psoriasis is a
common, long-term (chronic) disease with no cure. It tends to go through cycles, flaring for a few weeks or
months, then subsiding for a while or going into remission.” (Mayo Foundation for Medical Education and
Research. (2020, May 2). There are commercials that spotlight the struggles and stigma that individuals with
psoriasis have to deal with. There is evidence that individuals with psoriasis and other types of chronic atopic
dermatitis experience depression and other mental disorders. “People with the scaly skin condition psoriasis
are often faced with people who don’t want to shake hands with them and who see them – incorrectly – as
contagious, according to a new study.” (Crist, C. (2018, September 14).
Diagnosis:
Atopic Dermatitis
The patient reports worsening rash on bilateral arms that has not improved even after treating the atopic
dermatitis with hydrocortisone topical cream.
The patient states that they have a History of eczema
The patient reports that the area of her arms is very itchy and painful. The patients rates that their pain a 7/10,
and describes the pain as a “burning feeling.”
The patient states that nothing has improved her pain and inflammation. and fixating on itching worsens the
issue.
On the physical exam there is evidence of excoriations on bilateral antecubital region, scaling on bilateral
antecubital regions with erythema.
Fever, unspecified
Temperature 100.7
Seborrheic dermatitis
Reports increased itching and flakiness on her scalp
Diagnostics: