NRNP PRAC 6635 Comprehensive Psychiatric Evaluation Case Study

NRNP PRAC 6635 Comprehensive Psychiatric Evaluation Case Study

NRNP PRAC 6635 Comprehensive Psychiatric Evaluation Case Study

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  • Review this week’s Learning Resources and consider the insights they provide about assessment and diagnosis. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video. NRNP PRAC 6635 Comprehensive Psychiatric Evaluation Case Study
  • Select a patient that you examined during the last 2 weeks who presented with a disorder other than the one present in your selected case for Week 5.
  • Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor. When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor. You must submit your document using SafeAssign
  • Assignment
  • Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
  • Objective: What observations did you make during the interview and review of systems?
  • Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis and why?
  • Reflection notes: What would you do differently in a similar patient evaluation?
  • CASE STUDY TO USE
  • KY is a 66 years old white Caucasian male who was seen via telehealth, with a chief complain of Generalized Anxiety disorder and lack of sleep. Patient report that he has been seeking psychiatric service since October 2020. Patient report that he has had anxiety disorder for a long time, however it has gotten worse since the pandemic. Patient reported that he was admitted to Johns Hopkins over 10 years ago and was placed on Xanax. Patient stated that the Xanax worked for him in the past. patient reports that he was hit by a car in 2007 and has chronic pain. He’s currently on Oxycodone. Patient reports that he feels overwhelmed, pace, difficulty sitting and sleeping.. Patient reports he’s restless because he can’t find enough to do. Patient report occasional panic attacks. Patient denied any past history of trauma. Patient acknowledged family history of anxiety (Older Sister). Patient denied any AH/VH and SI/HI. patient was started on Buspirone 10mg TID and Trazodone 100mg QHS and to follow up in 30 days. Patient was informed. If you think you are experiencing a psychiatric emergency, including suicidal or homicidal thoughts, plans, or actions, call Baltimore Crisis response at 410-433-5175 or the national Suicide Prevention Hotline at 1-800-273-8255. And if you cannot reach any of these numbers, call 911 or go to the nearest ER.

 

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