WK3 ASSIGN1 NRNP 6675<\/p>\n
Learning Resources<\/p>\n
Required Readings\u00a0(click to expand\/reduce)<\/p>\n
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock\u2019s synopsis of psychiatry\u00a0(11th ed.). Wolters Kluwer. (For review as needed)<\/p>\n
Chapter 9, \u201cAnxiety Disorders\u201d<\/p>\n
Chapter 10, \u201cObsessive-Compulsive and Related Disorders\u201d<\/p>\n
Chapter 11, \u201cTrauma- and Stressor-Related Disorders\u201d<\/p>\n
Chapter 12, \u201cDissociative Disorders\u201d<\/p>\n
Chapter 26, \u201cPhysical and Sexual Abuse of Adults\u201d<\/p>\n
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter\u2019s child and adolescent psychiatry\u00a0(6th ed.). Wiley Blackwell.<\/p>\n
Chapter 26, \u201cPsychosocial Adversity\u201d<\/p>\n
Chapter 27, \u201cResilience: Concepts, Findings, and Clinical Implications\u201d<\/p>\n
Chapter 29, \u201cChild Maltreatment\u201d<\/p>\n
Chapter 30, Child Sexual Abuse\u201d<\/p>\n
Chapter 58, \u201cDisorders of Attachment and Social engagement Related to Deprivation\u201d<\/p>\n
Chapter 59, \u201cPost Traumatic Stress Disorder\u201d<\/p>\n
Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company. <\/p>\n
Chapter 6, \u201cPhysical Assessment, Diagnostic Tests, and Differential Diagnosis\u201d<\/p>\n
Chapter 12, \u201cAnxiety Disorders\u201d<\/p>\n
Centers for Disease Control and Prevention. (2020, April 3). Adverse childhood experiences (ACEs)\u00a0[Video].<\/p>\n
\u00a0https:\/\/www.cdc.gov\/violenceprevention\/aces\/index.html<\/p>\n
Dartmouth Films. (2018, September 25). Resilience\u00a0[Video]. YouTube. https:\/\/www.youtube.com\/watch?v=bAXZVYDNURY<\/p>\n
NCTSN. (2007). The promise of trauma-focused therapy for childhood sexual abuse\u00a0[Video]. https:\/\/www.nctsn.org\/resources\/promise-trauma-focused-therapy-childhood-sexual-abuse-video<\/p>\n
Walden University. (2021). Case study: Dev Cordoba. Walden University Blackboard. https:\/\/class.waldenu.edu<\/p>\n
Accessible player\u00a0–Downloads–Download Video w\/CCDownload AudioDownload Transcript<\/p>\n
Medication Review<\/p>\n
Review the FDA-approved use of the following medicines related to treating anxiety disorders, OCD, PTSD, and related disorders:<\/p>\n
Anxiety<\/p>\n
Generalized anxiety disorder<\/p>\n
Panic disorder<\/p>\n
alprazolam
amitriptyline
amoxapine
buspirone
chlordiazepoxide
citalopram
clomipramine
clonazepam
clonidine
clorazepate
cyamemazine
desipramine
diazepam
dothiepin
doxepin
duloxetine
escitalopram
fluoxetine
fluvoxamine
gabapentin (adjunct)
hydroxyzine
imipramine
isocarboxazid
lofepramine<\/p>\n
loflazepate
lorazepam
maprotiline
mianserin
mirtazapine
moclobemide
nefazodone
nortriptyline
oxazepam
paroxetine
phenelzine
pregabalin
reboxetine
sertraline
tiagabine
tianeptine
tranylcypromine
trazodone
trifluoperazine
trimipramine
venlafaxine
vilazodone<\/p>\n
alprazolam
citalopram
desvenlafaxine
duloxetine
escitalopram
fluoxetine
fluvoxamine
mirtazapine
paroxetine
pregabalin
sertraline
tiagabine (adjunct)
venlafaxine<\/p>\n
alprazolam
citalopram
clonazepam
desvenlafaxine
escitalopram
fluoxetine
fluvoxamine
isocarboxazid
lorazepam
mirtazapine
nefazodone
paroxetine
phenelzine
pregabalin
reboxetine
sertraline
tranylcypromine
venlafaxine<\/p>\n
Posttraumatic stress disorder<\/p>\n
Reversal of benzodiazepine effects<\/p>\n
Social anxiety disorder<\/p>\n
citalopram
clonidine
desvenlafaxine
escitalopram
fluoxetine
fluvoxamine
mirtazapine
nefazodone
paroxetine
prazosin (nightmares)
propranolol (prophylactic)
sertraline
venlafaxine<\/p>\n
flumazenil<\/p>\n
citalopram
clonidine
desvenlafaxine
escitalopram
fluoxetine
fluvoxamine
isocarboxazid
moclobemide
paroxetine
phenelzine
pregabalin
sertraline
tranylcypromine
venlafaxine<\/p>\n
Obsessive-compulsive disorder<\/p>\n
citalopram
clomipramine
escitalopram
fluoxetine
fluvoxamine
paroxetine
sertraline
venlafaxine
vilazodone<\/p>\n
Assignment: Focused SOAP Note for Anxiety, PTSD, and OCD<\/p>\n
In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches.\u00a0<\/p>\n
Photo Credit: Photographee.eu \/ Adobe Stock<\/p>\n
In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches.\u00a0<\/p>\n
To Prepare<\/p>\n
Review this week\u2019s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders.<\/p>\n
Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.<\/p>\n
Review the video,\u00a0Case Study: Dev Cordoba. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.<\/p>\n
Consider what history would be necessary to collect from this patient.<\/p>\n
Consider what interview questions you would need to ask this patient.<\/p>\n
The Assignment<\/p>\n
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:<\/p>\n
Subjective:\u00a0What 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?<\/p>\n
Objective:\u00a0What observations did you make during the psychiatric assessment?\u202f\u00a0<\/p>\n
Assessment:\u00a0Discuss the patient\u2019s 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\u00a0DSM-5-TR\u00a0diagnostic criteria for each differential diagnosis and explain what\u00a0DSM-5-TRcriteria 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.<\/p>\n
Plan:\u00a0What 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.\u00a0Also incorporate one health promotion activity and one patient education strategy.<\/p>\n
Reflection notes:\u00a0What would you do differently with this patient if you could conduct the session again?\u00a0Discuss what your next intervention would be if you could follow up with this patient.\u202fAlso 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.).<\/p>\n
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).<\/p>\n","protected":false},"excerpt":{"rendered":"
WK3 ASSIGN1 NRNP 6675 Learning Resources Required Readings\u00a0(click to expand\/reduce) Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock\u2019s synopsis of psychiatry\u00a0(11th ed.). Wolters Kluwer. (For review as needed) Chapter 9, \u201cAnxiety Disorders\u201d Chapter 10, \u201cObsessive-Compulsive and Related Disorders\u201d Chapter 11, \u201cTrauma- and Stressor-Related Disorders\u201d Chapter 12, \u201cDissociative Disorders\u201d Chapter 26, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10],"class_list":["post-100624","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing","tag-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/100624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=100624"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/100624\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=100624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=100624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=100624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}