Reference no: EM133777713
Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Focused SOAP notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.
For this Assignment, you will document information about a patient that you examined during the last 4 weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient.(28 year old male patient coming in to the clinic seeking help for longstanding difficulties in his relationships and work life. He describes feeling misunderstood by others, experiencing intense mood swings, and struggling with impulsivity. Pt acknowledges that his behavior has caused problems in his personal and professional life, leading to conflicts and frequent job changes. Pt will benefit from psychotherapy, specifically dialectical behavior therapy which are evidence-based treatments for individuals with personality disorders. DBT focuses on teaching skills to manage intense emotions, improve interpersonal relationships, and reduce impulsive behaviors. Will meet with patient again to see if medication is required after psychotherapy) .
Review the Kaltura button from the Classroom Support Center (accessed via the Help button) for help creating your self-recorded Kaltura video.
Select an adult patient that you examined during the last 4 weeks who presented with a disorder other than the disorder present in your Week 3 Case Presentation.
Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations.
Please Note:
All SOAP notes must be signed, by your Preceptor.
Note: Electronic signatures are not accepted.
When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of the completed assignment signed by your Preceptor.
You must submit your SOAP note using Turnitin.
Note: If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy.
Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record.