Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why?
- Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.
- Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
- Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide:
- 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 their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms.
- Plan: In your video, describe your treatment plan using clinical practice guidelines supported by evidence-based practice. Include a discussion on your chosen FDA-approved psychopharmacologic agents and include alternative treatments available and supported by valid research. All treatment choices must have a discussion of your rationale for the choice supported by valid research. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this treatment session?
- In your written plan include all the above as well as include one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.
- Reflection notes: What would you do differently with this patient if you could conduct the session over? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.
PRAC_6665_Week9_Assignment2_Pt1_Rubric
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This criterion is linked to a Learning OutcomeDiscuss Subjective data:• Chief
complaint• History of present illness (HPI)• Medications• Psychotherapy or
previous psychiatric diagnosis• Pertinent histories and/or ROS |
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10 pts |
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This criterion is linked to a Learning OutcomeDiscuss Objective data:• Physical
exam documentation of systems pertinent to the chief complaint, HPI, and
history• Diagnostic results, including any labs, imaging, or other
assessments needed to develop the differential diagnoses |
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10 pts |
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This criterion is linked to a Learning OutcomeDiscuss results of Assessment:•
Results of the mental status examination• Provide a minimum of three possible
diagnoses in order of highest to lowest priority and explain why you chose
them. What was your primary diagnosis and why? Describe how your primary
diagnosis aligns with DSM-5 diagnostic criteria and is supported by the
patient’s symptoms. |
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20 pts |
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This criterion is linked to a Learning OutcomeDiscuss treatment Plan:• A treatment
plan for the patient that addresses chosen FDA-approved psychopharmacologic
agents and includes alternative treatments available and supported by valid
research. The treatment plan includes rationales, a plan for follow-up
parameters, and referrals. The discussion includes one social determinant of
health according to the HealthyPeople 2030, one health promotion activity and
one patient education consideration for this patient for improving health
disparities and inequities in the realm of psychiatry and mental health. |
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20 pts |
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This criterion is linked to a Learning OutcomeReflect on this case. Discuss what
you learned and what you might do differently. |
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5 pts |
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This criterion is linked to a Learning OutcomePresentation style |
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5 pts |
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Total
Points: 80 |
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