Derive your differential diagnosis and what is the duration

Reference no: EM133732906

Case: Psychotic disorders change one's sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome.

For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder.

Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.

Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.

Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment??
Assessment: Discuss the patient's mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.

Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient.?Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Reference no: EM133732906

Questions Cloud

Discuss two ways that corrections system offers prisoners : Identify and discuss at least two ways that the corrections system offers prisoners the opportunity to prepare for future release into the community.

How do battlefield strategies impact the outcome of the day : What did you learn from the documentary "D-Day: 360?" How do modern weapons and battlefield strategies impact the outcome of the day?

How do you conceptualize the challenge : How do you conceptualize the challenge and What area will you focus on as the target for your lesson planning

What was life like in the us during the great depression : What was life like in the United States during the Great Depression? What were the achievements and failure of the New Deal in the period the chapter discusses?

Derive your differential diagnosis and what is the duration : Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient

What are the basic geographical patterns of trade : How would you characterize Salisbury description of pre-contact North America? What are the basic geographical patterns of trade, social interactions and so on?

How are traditional chinese ideas such as confucianism : How are traditional Chinese ideas such as Confucianism, Daoism, Legalism and Buddhism seen in Chinese cultural phenomena?

Review of executive summary from victoria business school : Draft of your executive summary for your final report. Make sure that your executive summary draft follows the format and structure of the Victoria Business

How do you think each of the movements reflect initial ideal : How do you think each of these movements reflect the initial ideals of the American founding, as expressed in the Declaration of Independence?

User Account

All Pages