Soap Note

https://www.slideshare.net/slideshow/case-study-dev-cordoba-2021-walden-university-llc-1/253073073#1

 Review the video, Case Study: Dev Cordoba. You will use this case as the basis of this Assignment.  

 

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, listed 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 could 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.).
  • Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

References:

 

  • Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer. 
    • Chapter 2, “Neurodevelopmental Disorders and Other Childhood Disorders”
      • Section 2.8, “Trauma- and Stressor-Related Disorders in Children” (pp. 167-173)
      • Section 2.13, “Anxiety Disorders of Infancy, Childhood, and Adolescence: Separation Anxiety Disorder, Generalized Anxiety Disorder, and Social Anxiety Disorder (Social Phobia)” (pp. 194-200”)
      • Section 2.14, “Selective Mutism” (pp.  201-202)
      • Section 2.15, “Obsessive-Compulsive Disorder in Childhood and Adolescence” (pp. 203-206)
    • Chapter 8, “Anxiety Disorders”
    • Chapter 9, “Obsessive-Compulsive and Related Disorders”
    • Chapter 10, “Trauma- and Stressor-Related Disorders
  • Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
    • Chapter 26, “Psychosocial Adversity”
    • Chapter 27, “Resilience: Concepts, Findings, and Clinical Implications”
    • Chapter 29, “Child Maltreatment”
    • Chapter 30, Child Sexual Abuse”
    • Chapter 58, “Disorders of Attachment and Social engagement Related to Deprivation”
    • Chapter 59, “Post Traumatic Stress Disorder”

Evidence-Based Project, Part 1: Identifying Research Methodologies

 

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

NSG 4150 HC Policy & Finance: Discussion 1

  

Discussion 1 

Let’s dive into stakeholder perceptions of the U.S. healthcare system as this will be a great foundation for the rest of the course. As a consumer of healthcare services and insurance, consider your own perspectives of the U.S. healthcare system. Please address each of the following aspects in your discussion response and support your answer with evidence from the literature.

1. As a nurse, you wear at least two or more stakeholder hats; how does being a nurse influence your role as a consumer of healthcare?

2. How does your knowledge of the U.S. health care system impact how you can help other stakeholders?

3. Explain the various sphere(s) of influence (consumer, provider, etc.) that would be the most impactful in advancing healthcare policy initiatives and explain why.

Create a Discussion using APA 7 format, and scholarly references no older than 5 years.

Please ensure that the Discussion includes more than 400 words with scholarly articles, and the plagiarism level must remain below 20%.

The field of pharmacology has witnessed significant advancements in the treatment of endocrine disorders. Among the newer medications, Mounjaro and Ozempic have gained attention due to their efficacy in managing conditions such as type 2 diabetes and obesity. Discuss about similarities, differences, and clinical implications of these two new drugs. 

Nursing Dnp Essentials

 

CLO 1: Analyze the AACN DNP Essentials within the context of providing the highest quality population health.  

CLO 2: Evaluate the evolution, past, present, and future of the role expectations of a competent doctoral prepared nurse within a diverse, global environment.  

CLO 3: Explore clinical and leadership opportunities of an advanced practice nurse with interprofessional collaboration.   

Requirements 

 You may not select interprofessional collaboration as all presentations must have a section focused on interprofessional collaboration in relation to their selected AACN essential.   

Incorporate more than 15 references with at least 10 research references. The only websites that can be used include .org, .edu, or .gov.