CMS

by Uncategorized
  1. Identifying a chronic health condition listed on CMS WEBSITE: https://www.cms.gov/medicare/enrollment-renewal/special-needs-plans/chronic-conditions.       *PMHNP students should select a population focused chronic condition (i.e., Depression, Schizophrenia, Psychotic Disorders, etc. from this list).
  2. Description of the health issue chosen from the CMS website.
  3. The incidence and prevalence of this condition in the US.
  4. How the condition is diagnosed, monitored, and treated in individuals with this condition?
  5. Description of the interdisciplinary team that will participate in coordinating care. Specifically, define the role of the APRN in management and coordination.  
  6. Can care teams use the CCCR model? Think in terms of systems and complexity reflective thinking. If not, name another model to help manage care?
  7. What is the cost of managing this disease in the county you live? 
  8. What resources are available to help manage the costs of care related to this condition?
  9. Identify barriers or challenges that you foresee for patients and care teams. How can barriers be overcome?

transition to nursing

by Uncategorized

  

1. Writes a letter to self on graduation day.

2. Considers the following questions in composing letter.

a. How do you hope you have changed in knowledge and skills, and personally?

b. What would you like to remind yourself about your inspiration for choosing this career?

c. You will be preparing to take the NCLEX-RN® and to start your first job as a baccalaureate-prepared nurse. Are there any words of encouragement that you would like to tell your future self?

d. Are there any words of caution you want to tell yourself—pitfalls to avoid?

e. What kind of nurse do you hope you become? What further growth and change do you envision for yourself?   

1. Creates a  vision board that reflects own inspiration and motivation for becoming a nurse.  

Includes pictures, a collage, a series of quotes, etc. Choose words and images that are meaningful to you. This should be a page that you can post somewhere, perhaps where you study, to motivate yourself as you move forward on your journey to become a nurse 

Disc 3 Ay

by Uncategorized
  • Begin searching for a peer-reviewed article that pertains to your practice area and interests you.

Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.

mood disorders

by Uncategorized

 Provider Review outside of interview:

Temp 98.2  Pulse  90 Respiration 18  B/P  138/88

Walden University. (2021). Case study: Petunia Park. Walden University Blackboard. https://waldenu.instructure.com

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?  
  • 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.).

References:

 

  • Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer. 
    • Chapter 6, “Bipolar Disorders”
    • Chapter 2, “Neurodevelopmental Disorders and Other Childhood Disorders”
      • Section 2.9, “Depressive Disorders and Suicide in Children and Adolescents” (pp. 174-180)
      • Section 2.10, “Early-Onset Bipolar Disorder” (pp. 181-184)
    • Chapter 7, “Depressive Disorders”
    • Chapter 21, “Psychopharmacology”
    • Chapter 22, “Other Somatic Therapies”
  • Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.
    • Chapter 11, “Mood Disorders”