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Question 1: Compose a written comprehensive psychiatric eval of an adult patient you have seen in the clinic
LABS (values included) performed to rule out any medical conditionPrimary Diagnoses- Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)using the DSM-5-TR. The correct ICD-10 billing code is used. DSM-5-TR. The correct ICD-10 billing code is used. Differential Diagnoses: Includes at least 2 differential diagnoses that can be supported by the subjective and objective data provided using the DSM-5-TR.
The correct ICD-10 billing code is used. Outcome Labs/Screening Tools - After the visit: orders appropriate diagnostic/lab or screening tool 100% of the time OR acknowledges "no diagnostic or screening tool clinically required at this time." Treatment Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under "assessment".
The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non- pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is supported by the cufrent US guidelines. Patient/Family Education- Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives. Referral : Provides a detailedlist of medical and interdisciplinary referrals or NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments. APA Formatting : Effectively uses literature and other resource. Exceptional use of citations and extended referencing. High level of precision with APA 7th Edition writing style.
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