NU569's Unit 7 SOAP note carries a composite roofer's COPD visit from subjective through plan, grading it spirometric stage 2 and group B under GOLD 2024. Searches like "nu 569 unit 7 assignment example", "nu569 unit 7 sample" and "nu569 unit 7 example" land here.
Adult SOAP Note: A Roofing Contractor Breathless on the Second Ladder, Graded and Treated by the GOLD 2024 Report
[Student Name]
Purdue University Global
NU569: FNP I Clinical - Lifespan Health Focus
Unit 7 Adult SOAP Note
[Instructor Name]
[Date]
The patient is a composite; values, dates and agents in brackets are illustrative.
Subjective
Chief complaint: "I get winded on the second ladder now." History of present illness: Mr. [R.], 64, runs a roofing company and still works on roofs. Over [six] months he has become breathless climbing the second ladder of the day and carrying bundles on the roof. He uses his [albuterol] inhaler every morning and often midday. Morning cough with clear sputum. One exacerbation [five] months ago, treated at home with [prednisone] and [doxycycline]; no hospital visits. No chest pain, ankle swelling, weight loss or hemoptysis. Symptom scores: COPD Assessment Test [19]; modified Medical Research Council dyspnea grade [2]. Exposures: [45] pack-years; quit smoking [two] years ago. Work exposure to dust and asphalt fumes for [40] years. Medications: [albuterol] metered-dose inhaler as needed, only; unchanged for [three] years. Vaccines: influenza [this season]; pneumococcal [unknown]; RSV [not given]; COVID-19 [last dose 2023].
Objective
Vitals: temperature [36.7] C, heart rate [84], respiratory rate [18], blood pressure [134/82], oxygen saturation [94] percent on room air. Chest: increased anteroposterior diameter; prolonged expiration with scattered expiratory wheeze; no crackles. Cardiovascular: regular rhythm; no murmur; no jugular venous distension; no edema. Extremities: no clubbing. Spirometry, post-bronchodilator, [March]: FEV1/FVC [0.61]; FEV1 [58] percent predicted.
Assessment
Chronic obstructive pulmonary disease, GOLD spirometric grade 2, group B.
Two steps, kept separate, as the report keeps them (Global Initiative for Chronic Obstructive Lung Disease, 2024). Step one, airflow: his ratio after bronchodilator, 0.61, is under the 0.70 cutoff and confirms persistent airflow obstruction, and an FEV1 of 58 percent predicted, between 50 and 80, sets grade 2, moderate. Step two, group: a CAT of 10 or more marks him as more symptomatic, and one exacerbation without hospitalization in the past year is below the threshold for group E, which requires two or more moderate exacerbations or one leading to admission. More symptoms and fewer exacerbations place him in group B.
The group, not the grade, decides his first treatment, and group B calls for a long-acting bronchodilator combination rather than a rescue inhaler alone.
Also found: lung cancer screening due and not done; no alpha-1 antitrypsin test on record.
Plan
1. Start a dual long-acting bronchodilator, LAMA plus LABA in one device, [tiotropium-olodaterol] [composite dose] once daily, as the report recommends for group B. Keep [albuterol] as needed.
2. Inhaler technique: demonstrated and checked by teach-back; he used the device correctly on the second attempt.
3. Pulmonary rehabilitation referral. Structured rehabilitation leaves people with COPD less breathless, able to do more and feeling better (Spruit et al., 2013), and a program that fits around his work was discussed.
4. Alpha-1 antitrypsin level, once, as the report recommends for all patients with COPD.
5. Low-dose CT for lung cancer screening: he meets the criteria, age 50 to 80 with 20 or more pack-years, having quit within 15 years (US Preventive Services Task Force, 2021). Shared decision discussion held; he agreed.
6. Vaccines reconciled against the current CDC adult schedule: pneumococcal conjugate vaccine today; RSV vaccine discussed for adults with chronic lung disease; COVID-19 update offered.
7. Written action plan: what to do if breathlessness, sputum volume or sputum color worsen, including when to start a standby course and when to call.
Work: dust and fume exposure discussed; a fitted respirator on job sites. Follow-up: [four to six] weeks, on [date], for symptoms, CAT, rescue use and technique.
References
Global Initiative for Chronic Obstructive Lung Disease. (2024). Global strategy for the prevention, diagnosis and management of COPD: 2024 report. https://goldcopd.org
Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L., Rochester, C., Hill, K., Holland, A. E., Lareau, S. C., Man, W. D.-C., Pitta, F., Sewell, L., Raskin, J., Bourbeau, J., Crouch, R., Franssen, F. M. E., Casaburi, R., Vercoulen, J. H., Vogiatzis, I., ... Wouters, E. F. M. (2013). An official American Thoracic Society/European Respiratory Society statement: Key concepts and advances in pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine, 188(8), e13-e64. https://doi.org/10.1164/rccm.201309-1634ST
US Preventive Services Task Force. (2021). Screening for lung cancer: US Preventive Services Task Force recommendation statement. JAMA, 325(10), 962-970. https://doi.org/10.1001/jama.2021.1117
How this NU569 Unit 7 example is structured
Subjective, objective, assessment and plan keep their conventional boundaries, and the note is strict about what belongs where; the CAT score sits in subjective because the patient completes it, the spirometry in objective. The assessment grades in two separate steps, since GOLD keeps airflow severity apart from the ABE group that guides treatment: FEV1 sets grade 2, while symptoms and a single outpatient exacerbation set group B. That grouping drives the first plan item, a combination long-acting antimuscarinic and beta agonist inhaler, [tiotropium-olodaterol] in brackets, replacing rescue-only therapy. The remaining items follow the report's other recommendations: an inhaler technique check by teach-back, referral to pulmonary rehabilitation, alpha-1 antitrypsin testing once, low-dose CT under the USPSTF's 2021 criteria, vaccines reconciled against the current CDC adult schedule, and a written action plan. Follow-up is dated at four to six weeks.
Get an NU569 Unit 7 example written to your instructions
Name the adult chronic condition your Unit 7 prompt assigns, or leave the choice to us if it is open, and send your course's SOAP template with the rubric. The sample note stages the condition by a current standard and brackets every dose, returned within 24-48h and free on your first request. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
NU569 Unit 7 questions, answered
Which chronic condition should an adult SOAP note use?
Whichever the prompt names. When it names none, a condition common in family practice with a clear staging standard works well: COPD, hypertension, type 2 diabetes, asthma or chronic kidney disease. A staging standard gives the assessment something objective to apply. Choosing a rare condition adds risk without adding credit, since graders reward depth of reasoning over novelty.
How much review of systems belongs in a chronic follow-up note?
Enough to cover the systems the condition touches and to catch complications, not a full head-to-toe list. For COPD that means respiratory, cardiac, sleep, weight and mood. Graders in many sections mark down a pasted full review with every system negative, because it reads as a template rather than an examination of this patient.
Should the note include patient education?
Yes, usually in the plan, and specific to the visit: inhaler technique checked by teach-back, what the action plan says, and when to call. Generic lines about lifestyle add length without evidence of teaching. Where your template has a separate education heading, the same content moves there. Education in the sample is written as items the next clinician could verify.