What observations did you make during the psychiatric

Assignment Help Project Management

Reference no: EM133803813

Case study: Petunia Park.

Laborator Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)

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 symptomatology 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? Your Experts Are Ready - Hire Now!

Assessment: Discuss the patient's mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 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: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Reference no: EM133803813

Questions Cloud

Generate wellness plan for patient with COPD : Generate a wellness plan for a patient with COPD exacerbation on a medsurg floor. Make sure there are interventions and an evaluation for this plan

How might nurse leaders leverage data : How might nurse leaders leverage data for performance management? Support your statements with evidence from the literature

What specific etfs is your team choosing within each segment : FIN 485- What specific ETFs is your team choosing within each segment, and how did your team decide on those specific ETFs?

Maintaining good records also protects counselors : Maintaining good records also protects counselors because good documentation can show the quality of care in case of discrepancies.

What observations did you make during the psychiatric : Discuss the patients mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting

Holli has been planning her delivery in community hospital : Holli has been planning her delivery in the community hospital. She has had a healthy pregnancy to date, with no drug or alcohol use.

Why are tachycardia and hypotension indications of condition : Acute pancreatitis is sometimes seen in alcoholics, particularly after binge drinking. Why are tachycardia and hypotension indications of this condition?

About measurement and control systems : What are some concerns of change agents about measurement and control systems?

Describe your treatment modality and your plan : Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan

User Account

All Pages