Mental Health Clinical Presentation – Part 1 and 2 on SOCIAL ANXIETY DISORDER

   

Week 6: Mental Health Clinical Presentation – Part 1

    

Purpose  

The purpose of this assignment is for learners to: 

  1. Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.
  2. Demonstrate an advancing understanding of the patient with a mental health disorder in primary care.
  3. Demonstrate the ability to analyze the literature/ previous patients seen in the clinical setting be able to perform an evidence-based review of their case, diagnosis, and plan, while guiding and taking feedback from peers regarding the case.
  4. Demonstrate professional communication and leadership, while advancing the education of peers. 

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to:

  1. Develop management plans based on current scientific evidence and national guidelines. (CO4)  
  2. Prioritize treatment based on relevant clinical presentation. (CO6)

 

Requirements:  

For Week 6 of the course, there will not be a case study given to you by the faculty. Instead, you will be assigned a  mental health disorder commonly seen in primary care and you will create a case study based on that disorder.  You may create a case study either from a previous clinical patient experience or if you have not had a patient in clinical that represents your assigned topic you may research your disease using the week’s classroom material and the evidence-based literature in the field. The case should be clear and include all elements of a normal case that might be presented in class  (subjective, objective, assessment, and full 5 point plan).  The clinical practicum documentation will be helpful for this process, or notes you have taken in clinical regarding cases.  The case should be  clear, organized, and meet the following guidelines: 

Week 6 Part One: 

This part goes in part one and should begin with subjective and objective data just like we do in your weekly case study discussion.  Do not put a diagnosis until your peers respond. 

WEEK 6 Part One: The case should lead the class toward the mental health diagnosis assigned to you by your instructor. 

WEEK 6 Part One Specific Guidelines

If this is an actual patient from clinical- Include their actual chief complaint, demographic data, HPI,  PMHX, PSHX, medications, allergies, subjective and objective findings without identifying the patient’s name. 

If this is a fictitious case you’ve created from the literature/readings you should design an example patient and include chief complaint, demographic data, HPI, PMHX, PSHX,  medications and allergies, subjective and objective findings. Be mindful that the background data for the case should bear some relevance to the diagnosis. 

The case should not be overly simple. Like your weekly case studies, it should include subjective data that loosely represents the diagnosis you have been given, but includes some elements of the pathophysiology/presentation of the disease. 

You must include the following elements in part one: subjective: chief complaint/HPI, demographic data, HPI, PMHX,  PSHX, subjective and objective findings. 

NEXT: 

Leading the discussion in part one:   You must respond to any student who posts regarding your case with a  substantial response, either answering their questions or noting their  response and acting as leader. You also must respond to any faculty  responses to your initial posting. Use references to support your  responses. Remember: Your response to your peers is part of where you  demonstrate your knowledge of the disease you were assigned. You should  be discussing hallmark symptoms, diagnostic tools etc along with  discussing the student’s impressions and conclusions.  Once your peers  respond you can share the primary diagnosis and treatment plan that  actually occurred if it is a live patient, and the ideal treatment plan  if it is an invented case. Your treatment plan should address any  national guidelines as appropriate for the diagnosis. 

Participating in part one: As a student you will be required to respond to at least one other student, whom has no responses to their posting**. In your response to your peer you must include the  following: Your top three (3) differentials based on the information  provided, the primary diagnosis you are leaning toward, and first line  treatment for how you would treat that diagnosis. Use references to  support your response. *DEADLINE – YOUR ONE REPSONSE TO A STUDENT IN DISCUSSION #1 IS DUE BY THURSDAY AT 11:59 p.m. MT SO THAT THE STUDENT CAN INTERACT WITH YOU AS WE DO IN OTHER CASES.  **If all students have a response, then choose the student with the least responses to their posting. 

**To  see view the grading criteria/rubric, please click on the 3 dots in the  box at the end of the solid gray bar above the discussion board title  and then Show Rubric.

       

DISCUSSION CONTENT 

 

Description 

Application of Course Knowledge  

Post contributes clinically accurate perspectives/insights applicable to the results from the physical exam and diagnoses. Initial post includes the most likely diagnosis/specific treatment plan given case study information supported by rationale  and answers all questions presented in the case. Demonstrates course  knowledge/assigned readings by: linking tests/interventions accurately to diagnoses, applies learned knowledge specifically to the symptoms and patient information using original dialogue i.e., little to no direct quotes.  

 

Evidence Based resources 

Discussion post supported by  evidence from appropriate sources published within the last five years.  Focus of journal articles represents a logical link between the article  content and the case study information.  In-text citations and full  references are provided. 

 

Organization  

Discussion post presented in a  logical, meaningful, and understandable sequence. Headings reflect  separation of criterion outlined in assignment guidelines.  

**Direct quote should not exceed 15 words & must add substantively to the discussion 

 

APA/Grammar/Spelling 

Discussion post has minimal  grammar, spelling, syntax, punctuation and APA* errors. Direct quotes  (if used) is limited to 1 short statement** which adds substantively to  the post.  

* APA style references and in text  citations are required; however, there are no deductions for errors in  indentation or spacing of references. All elements of the reference  otherwise must be included. 

 

          Week 6: Mental Health Final Treatment Plan/Analysis – Part 2         

Purpose  

The purpose of this assignment is for learners to: 

  1. Have the opportunity to integrate knowledge and skills learned  throughout all core courses in the FNP track and previous clinical  courses.
  2. Demonstrate an advancing understanding of the patient with a mental health disorder in primary care.
  3. Demonstrate the ability to analyze the literature/ previous patients  seen in the clinical setting be able to perform an evidenced-based  review of their case, diagnosis, and plan, while guiding and taking  feedback from peers regarding the case.
  4. Demonstrate professional communication and leadership, while advancing the education of peers.

Activity Learning Outcomes  

Through this discussion, the student will demonstrate the ability to:

  1. Interpret  subjective and objective data to develop appropriate diagnoses and  evidence based management plans for patients and families with complex  or multiple diagnoses across the lifespan. (CO 1)  
  2. Develop management plans based on current scientific evidence and national guidelines. 

Part 2- Turning in your final treatment plan and Analysis  

The final treatment plan will include the  primary diagnosis, diagnostic testing recommended by National  Guidelines. Medications, interventions, education, labs, follow up,  referrals. After completing the treatment plan include the following  sections in a large area called ANALYSIS:

  1. Pathophysiology and Pharmacology: For the  primary diagnoses in the case, write a brief summary of the underlying  pathophysiology and tie pharmacological treatment chosen in the reversal  or control of that pathology. 
  2. Additional analysis of the case: This includes national guidelines  that were or should have been used to make diagnosis or treatment and  review how they applied or how care was unique but based in guidelines.
  3. Follow-up/Referrals: This means how the patient was doing when seen a  second time if this applies. This would be their response to your plan  of care. OR when Follow up will occur and what actions will be taken on  the follow up visit. Referrals if indicated.
  4. Quality: Include anything that should have been considered in  hindsight or changes you would make in seeing similar patients in the  future with the same complaint, history, exam, or diagnosis. Add  anything you learned from discussion in the class that shed new light on  this patient.
  5. Coding and Billing. Any or all CPT and ICD-10 codes that should have been used (List them and name them only.

Written in a word document and submitted in the Week 6 case study summary submission box.

       

DISCUSSION CONTENT 

Description 

 

Application of Course Knowledge  

Post contributes clinically accurate perspectives/insights applicable to the results from the physical exam and diagnoses. Initial post includes the most likely diagnosis/specific treatment plan given case study information supported by rationale  and answers all questions presented in the case. Demonstrates course  knowledge/assigned readings by: linking tests/interventions accurately to diagnoses, applies learned knowledge specifically to the symptoms and patient information using original dialogue i.e., little to no direct quotes.  

 

Evidence-Based resources 

Discussion post supported by  evidence from appropriate sources published within the last five years.  Focus of journal articles represents a logical link between the article  content and the case study information.  In-text citations and full  references are provided. 

APA/Grammar/Spelling 

Discussion post presented in a  logical, meaningful, and understandable sequence. Headings reflect  separation of criterion outlined in assignment guidelines.  

**Direct quote should not exceed 15 words & must add substantively to the discussion 

Discussion post has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post.  

* APA style references and in text  citations are required; however, there are no deductions for errors in  indentation or spacing of references. All elements of the reference  otherwise must be included. 

 

 

Drug Abuse Assignment

Write a full 1-2 page paper with references…

Choose a drug to research on healthypeople, CDC, medline plus, drugabuse.org, etc

What are the health disparities? Who is more affected by that substance?

How addictive is it? What are the health consequences?

What could we do to increase prevention of that substance?

Discussion Question

1- Discussion Question:  Suppose you are going to conduct a study utilizing Qualitative Research Design: which type of research would you use, and which method would you utilize to collect data and select your sample. 

2- 3 paragraphs 3 sentences each

3- APA style

4- 2 references not older than 2015

Week 2

Exposition requires analysis and careful thought. The paper should not simply be a summary of the benefits of cell phones or a historical essay like “The History of Cell Phones.” Even if you are a History major, you need to pick a specific concept or topic from history through which cell phones could be examined (For example: Microhistory). Please include a creative title in your piece. Please include a works cited or references page (depending on citation style used: MLA or APA). Purpose: The main purpose of this assignment is to create an interesting, authentic, well-organized, and well-written expository essay that extends the critical conversation on how we use cell phones and technology from the perspective of an expert in your field of study. Audience: Consider your audience a general reading public: People who enjoy reading as a practice and are eager to think about complex topics; who think critically. Also consider your audience to be composed of people with varying levels of interest in the subject of your essay: Try to engage a wide variety of readers. Length: 3 to 5 pages (double-spaced, size 12 font, MLA or APA style). Write at least 3 full pages of text, with the list of references not counting toward the 3 pages requirement. Exposition requires analysis and careful thought. The paper should not simply be a summary of the benefits of cell phones or a historical essay like.
“The History of Cell Phones.” Even if you are a History major, you need to pick a specific concept or topic from history through which cell phones could be examined (For example: Microhistory). Please include a creative title in your piece. Please include a works cited or references page (depending on citation style used: MLA or APA). Purpose: The main purpose of this assignment is to create an interesting, authentic, well-organized, and well-written expository essay that extends the critical conversation on how we use cell phones and technology from the perspective of an expert in your field of study. Audience: Consider your audience a general reading as a practice and are eager to think about complex topics; who think critically. Also consider your audience to be composed of people with varying levels of interest in the subject of your essay: Try to engage a wide variety of readers. Length: 3 to 5 pages (double-spaced, size 12 font, MLA or APA style). Write at least 3 full pages of text, with the list of references not counting toward the 3 pages requirement.

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why.

· Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.

· Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

Please use this format

Introduction

MyChart

Making Sense of So Much Data

Conclusion 

References

Week 5 Project

 Due October 25 at 11:59 PM

The Good Life

The final graded assignment is an 8-10 page paper on the question: what is the good life? This assignment will be completed in four parts, so you may want to use section headers to organize your paper. This paper is somewhat cumulative, so you may need to review material from previous weeks to prepare for this essay. Remember to explain the theories you reference with supporting citations to the textbook and online lectures before contrasting them in correct APA format. You may want to use examples to illustrate your understanding of key ideas in each theory. Use this APA Citation Helper as a convenient reference for properly citing resources.

Address the following in your paper:

  1. The Consequentialism Debate: Compare and Contrast deontology and utilitarianism. Briefly discuss the differences between Bentham and Mill’s versions of utilitarianism. Discuss the political and ethical implications of utilitarianism.
  2. Explain virtue ethics and care ethics and discuss how these approaches offer an alternative to the deontological and utilitarian focus on how we should act.
  3. Explain existential ethics and briefly discuss the role of free will in ethical decision making. The explanation of existentialism should discuss the following ideas: authenticity, ambiguity, freedom, anxiety, and bad faith. 
  4. Illustrate the theories discussed with examples, including situations relevant to your current or future career.

Use the following text book as your main reference:

Mitchell, H. B. (2015). Roots of Wisdom: A Tapestry of Philosophical Traditions, 7th. Cengage Learning, ISBN 9781285197128 

Assignment

Write a 350- to 525-word article that discusses key stakeholders in the health care sector in which you work (referral coordinator in a Hospital) Include the following in your article:

  • A brief introduction to the health care sector in which you work
  • Identity of key internal stakeholders
  • Identity of key external stakeholders
  • An evaluation of strategies used to develop relationships with internal and external stakeholders

Include a citation of your article in your assignment.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.