WK4 NRNP6635 Assignment: Assessing and Diagnosing Patients

WK4 NRNP6635 Task: Assessing and Diagnosing Sufferers With Anxiousness Issues, PTSD, and OCD “Concern,” in line with the DSM-5, “is the emotional response to actual or perceived imminent risk, whereas anxiousness is anticipation of future risk” (APA, 2013). All anxiousness issues comprise some extent of concern or anxiousness signs (usually together with avoidant behaviors), though their causes and severity differ. Trauma-related issues might also, however not essentially, comprise concern and anxiousness signs, however their major distinguishing criterion is publicity to a traumatic occasion. Trauma can happen at any level in life. It won't shock you to find that traumatic occasions are more likely to have a higher impact on kids than on adults. Early-life traumatic experiences, corresponding to childhood sexual abuse, could affect the physiology of the creating mind. Later in life, there's a persistent hyperarousal of the stress response, making the person susceptible to additional stress and stress-related illness. For this Task, you follow assessing and diagnosing sufferers with anxiousness issues, PTSD, and OCD. Evaluation the DSM-5 standards for the issues inside these classifications earlier than you get began, as you'll be requested to justify your differential prognosis with DSM-5 standards. To Put together: · Evaluation this week’s Studying Sources and think about the insights they supply about assessing and diagnosing anxiousness, obsessive-compulsive, and trauma- and stressor-related issues. · Obtain the Complete Psychiatric Analysis Template, which you'll use to finish this Task. Additionally evaluation the Complete Psychiatric Analysis Exemplar to see an instance of a accomplished analysis doc. · By Day 1 of this week, choose a particular video case research to make use of for this Task from the Video Case Choices selections within the Studying Sources. View your assigned video case and evaluation the extra information for the case within the “Case Historical past Stories” doc, maintaining the necessities of the analysis template in thoughts. · Think about what historical past can be obligatory to gather from this affected person. · Think about what interview questions you would wish to ask this affected person. · Establish at the very least three doable differential diagnoses for the affected person. Full and submit your Complete Psychiatric Analysis, together with your differential prognosis and critical-thinking course of to formulate major prognosis. Incorporate the next into your responses within the template: · Subjective: What particulars did the affected person present relating to their chief grievance and symptomology to derive your differential prognosis? What's the period and severity of their signs? How are their signs impacting their functioning in life? · Goal: What observations did you make in the course of the psychiatric evaluation? · Evaluation: Talk about the affected person’s psychological standing examination outcomes. What have been your differential diagnoses? Present a minimal of three doable diagnoses with supporting proof, listed so as from highest precedence to lowest precedence. Evaluate the DSM-5 diagnostic standards for every differential prognosis and clarify what DSM-5 standards guidelines out the differential prognosis to seek out an correct prognosis. Clarify the critical-thinking course of that led you to the first prognosis you chose. Embody pertinent positives and pertinent negatives for the precise affected person case. · Reflection notes: What would you do in a different way with this shopper should you may conduct the session over? Additionally embody in your reflection a dialogue associated to authorized/moral issues (display important pondering past confidentiality and consent for remedy!), well being promotion and illness prevention taking into account affected person elements (corresponding to age, ethnic group, and so on.), PMH, and different threat elements (e.g., socioeconomic, cultural background, and so on.). Week four: Anxiousness Issues, PTSD, and OCD Coaching Title 15 Title: Mr. David Jackson Gender: male Age:19 years previous T- 98.eight P- 89 R 18 110/62 Ht 5’7 Wt 133lbs Background: Lives in Minneapolis, MN with each of his dad and mom, solely youngster. Works half time at Starbucks. Not presently partnered. No earlier psychiatric historical past. Signs started within the final 1.5 months when he found he's being activated with the Navy Reserves. His MOS is SK1 Storekeeper; no medical diseases Allergic reactions: NKDA; sleeps 6.5 hrs; urge for food good Symptom Media. (Producer). (2017). Coaching title 15 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-15 Coaching Title 21 Title: Sergeant Patrick Flanrey Gender: male Age:27 years previous T- 97.four P- 84 R 18 B/P134/88 Ht 5’eight Wt 167lbs Background: He entered the army simply after highschool and did three lengthy excursions of obligation in warzones. He separated from lively obligation within the Marines (MOS 0800 Area Artillery) lower than a yr in the past after eight years of service. He's engaged to be married (no date set) and is presently working as a furnishings salesman. He stated he grew up poor and wouldn't do a lot else if he didn’t go into the army. He denies ever utilizing any medicine and avoids alcohol as a result of his father was “sloppy drunk.” Father continues to be alive, unwell (DM, liver illness, HTN), nonetheless consuming. Paternal grandfather was additionally a veteran and suffered despair at occasions although he by no means informed anybody besides the affected person due to their fight connection. Mom is alive and effectively, nonetheless “caring for dad.” He has one youthful and one older sister. He lives in a special state, roughly 5 hours from his dad and mom and siblings. After the army, he and his fiancé moved as a result of she bought a significantly better alternative. They need children sometime and hope to marry in a yr or two. Has service-connected bronchial asthma, seasonal allergic reactions; no hx of psychiatric or substance use remedy. Symptom Media. (Producer). (2016). Coaching title 21 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-21 Coaching Title 37 Title: Mr. Tony Patelli Gender: male Age:18 years previous T- 98.eight P- 94 R 20 126/88 Ht 5’four Wt 131lbs Background: Lives alone in New York, raised by dad and mom in New Jersey, solely youngster. He's a fulltime scholar at area people school for graphic design. Has a girlfriend from highschool. No earlier psychiatric historical past. No medical diseases; no historical past of psychiatric remedy; denied medicine or alcohol; Allergic reactions: NKDA; sleeps 7.5 hrs; urge for food eats three meals/day, likes to maintain a routine schedule. Symptom Media (Producer). (2016). Coaching title 37 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-37 Coaching Title 40 Title: Ms. Barbara Weidre Gender: feminine Age: 56 years previous T- 99.zero P- 99 R 24 132/89 Ht 5’four Wt 168lbs Background: Lives along with her husband in Knoxville, TN, has one daughter age 23. She has by no means labored. Raised by mom, she by no means knew her father. Mom with hx of hysteria; no substance hx for affected person or household. No earlier psychiatric remedy. Has one glass crimson wine with dinner. Sleeps 10-12 hrs; urge for food decreased. Has overactive bladder, untreated. Allergic to Phenergan; complains of complications, takes prn ibuprofen, has diarrhea as soon as weekly, takes OTC Imodium. Symptom Media. (Producer). (2016). Coaching title 40 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-40 Coaching Title 55 Title: Matilda Johnson Gender: feminine Age: 9years previous She refused vitals, ht and wt Vaccinations are updated; heading in the right direction with developmental milestones. Urge for food, she is a choosy eater per mother. NKDA Symptom Media. (Producer). (2017). Coaching title 55 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-55 Coaching Title 85 Title: Mrs. Carol Holliman Gender: feminine Age: 42 years previous T- 98.zero P- 77 R 18 132/72 Ht 5’zero Wt 127lbs Background: Born and raised in Northern Eire, dad and mom introduced her and her 5 sisters to U.S. when she was 15 to go to U.S. college the place she met her husband. They stay in Charleston, SC. She obtained her bachelor’s diploma in training; no historical past of psychological well being or substance use remedy, no household historical past. Her husband reported a current faculty taking pictures close by three weeks in the past “flipped a change” in her. She is watching the information 24/7, barely sleeping, and even when she does, it's just a few hours, Urge for food is decreased. Hx of hysterectomy, NKDA, no authorized hx. Symptom Media. (Producer). (2017). Coaching title 85 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-85 Coaching Title 95 Title: Ms. Zahara Williams Gender: feminine Age: 23 years previous T- 97.5 P- 86 R 18 112/64 Ht 5’2 Wt 130lbs Background: Born and raised in Jacksonville, FL along with her mom and a couple of older brothers; her mom has hx of hysteria, brothers hx of hashish; no earlier psychological well being remedy, no drugs; NKDA; no authorized hx; sleeping 7 hrs; Urge for food is nice. She has an affiliate of arts diploma and works for Amazon warehouse. She has DX of diabetes since age 5. She remembers having nice problem along with her medical situation (uncontrolled blood sugar, combating with mom over needle sticks, “children need sweet, and I used to be so completely different due to my food regimen”). She remembers having a tough relationship along with her mom who was a nurse and actually labored onerous to manage her daughter’s diabetes. She is just not in a relationship, identifies as lesbian however has not come out to the household. Solely her closest co-workers know she is homosexual, and he or she doesn’t plan to return out within the close to future. She acknowledged, “I don’t see why I'd, they wouldn’t perceive, and this isn't vital proper now.” Symptom Media. (Producer). (2018). Coaching title 95 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-95 --- NRNP/PRAC 6635 Complete Psychiatric Analysis Template Week (enter week #): (Enter task title) Pupil Title School of Nursing-PMHNP, Walden College NRNP 6635: Psychopathology and Diagnostic Reasoning College Title Task Due Date Subjective: CC (chief grievance): HPI: Previous Psychiatric Historical past: · Basic Assertion: · Caregivers (if relevant): · Hospitalizations: · Treatment trials: · Psychotherapy or Earlier Psychiatric Analysis: Substance Present Use and Historical past: Household Psychiatric/Substance Use Historical past: Psychosocial Historical past: Medical Historical past: · Present Drugs: · Allergic reactions: · Reproductive Hx: ROS: · GENERAL: · HEENT: · SKIN: · CARDIOVASCULAR: · RESPIRATORY: · GASTROINTESTINAL: · GENITOURINARY: · NEUROLOGICAL: · MUSCULOSKELETAL: · HEMATOLOGIC: · LYMPHATICS: · ENDOCRINOLOGIC: Goal: Bodily examination: if relevant Diagnostic outcomes: Evaluation: Psychological Standing Examination: Differential Diagnoses: Reflections: References --- WK4 NRNP6635 Task: Assessing and Diagnosing PTSD and OCD Fear is an emotional response to an precise or imagined imminent risk, whereas concern is an anticipation of future risk (APA, 2013). Concern or anxiousness signs (generally mixed with avoidant actions) are current in all anxiousness issues, albeit the explanations and severity range. Concern and anxiousness signs are frequent in trauma-related issues, however they don't seem to be the principle distinguishing issue. Trauma can strike at any time. It isn't stunning that kids are extra inclined to trauma than adults. Childhood traumas, corresponding to sexual abuse, can have an effect on the rising mind's physiology. Continual hyperarousal of the stress response later in life makes the particular person vulnerable to extra stress and stress-related issues. Apply assessing and diagnosing folks with PTSD, OCD, and anxiousness issues. You may be requested to justify your differential prognosis utilizing DSM-5 standards. Prep: Evaluation this week's Studying Sources and take into consideration assess and diagnose anxiousness, OCD, and trauma and stressor-related illnesses. Obtain the Complete Psychiatric Analysis Template. Study the Complete Psychiatric Analysis Exemplar for a accomplished analysis doc. Select a video case research from the Video Case Choices within the Studying Sources by Monday. Study the given video case and the “Case Historical past Stories” doc for extra case information, maintaining in thoughts the analysis template's necessities. Think about the affected person's historical past assortment wants. Think about the interview questions you'd have to ask. Establish three differential prognosis for the affected person.
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