WK4 NRNP6635 Process: Assessing and Diagnosing Victims With Anxiousness Points, PTSD, and OCD
“Fear,” in accordance with the DSM-5, “is the emotional response to precise or perceived imminent menace, whereas anxiousness is anticipation of future menace” (APA, 2013). All anxiousness issues embrace a degree of fear or anxiousness indicators (normally along with avoidant behaviors), although their causes and severity differ. Trauma-related issues also can, nevertheless not primarily, embrace fear and anxiousness indicators, nevertheless their predominant distinguishing criterion is publicity to a traumatic event. Trauma can occur at any degree in life. It could not shock you to search out that traumatic events usually tend to have a bigger impression on children than on adults. Early-life traumatic experiences, resembling childhood sexual abuse, might have an effect on the physiology of the creating thoughts. Later in life, there is a continuous hyperarousal of the stress response, making the individual weak to extra stress and stress-related sickness.
For this Process, you observe assessing and diagnosing victims with anxiousness issues, PTSD, and OCD. Overview the DSM-5 requirements for the issues inside these classifications sooner than you get started, as you may be requested to justify your differential prognosis with DSM-5 requirements.
To Put collectively:
· Overview this week’s Finding out Belongings and bear in mind the insights they provide about assessing and diagnosing anxiousness, obsessive-compulsive, and trauma- and stressor-related issues.
· Get hold of the Full Psychiatric Assessment Template, which you will use to complete this Process. Moreover analysis the Full Psychiatric Assessment Exemplar to see an occasion of a completed Assessment doc.
· By Day 1 of this week, select a selected video case analysis to utilize for this Process from the Video Case Alternate options choices throughout the Finding out Belongings. View your assigned video case and analysis the additional data for the case throughout the “Case Historic previous Research” doc, retaining the requirements of the Assessment template in ideas.
· Take into consideration what historic previous may very well be important to collect from this affected individual.
· Take into consideration what interview questions you’d want to ask this affected individual.
· Decide a minimal of three doable differential diagnoses for the affected individual.
Full and submit your Full Psychiatric Assessment, collectively together with your differential prognosis and critical-thinking course of to formulate predominant prognosis.
Incorporate the following into your responses throughout the template:
· Subjective: What particulars did the affected individual current referring to their chief criticism and symptomology to derive your differential prognosis? What is the size and severity of their indicators? How are their indicators impacting their functioning in life?
· Aim: What observations did you make all through the psychiatric analysis?
· Analysis: Speak concerning the affected individual’s psychological standing examination outcomes. What have been your differential diagnoses? Current a minimal of three doable diagnoses with supporting proof, listed in order from highest priority to lowest priority. Study the DSM-5 diagnostic requirements for each differential prognosis and make clear what DSM-5 requirements pointers out the differential prognosis to hunt out an right prognosis. Make clear the critical-thinking course of that led you to the primary prognosis you selected. Embrace pertinent positives and pertinent negatives for the exact affected individual case.
· Reflection notes: What would you do in any other case with this client in case you may conduct the session over? Moreover embrace in your reflection a dialogue related to approved/ethical points (present important pondering previous confidentiality and consent for remedy!), nicely being promotion and sickness prevention taking into account affected individual elements (resembling age, ethnic group, and many others.), PMH, and completely different hazard elements (e.g., socioeconomic, cultural background, and many others.).
Week 4: Anxiousness Points, PTSD, and OCD Teaching
Title 15 Determine: Mr. David Jackson Gender: male Age:19 years outdated T- 98.eight P- 89 R 18 110/62 Ht 5’7 Wt 133lbs Background: Lives in Minneapolis, MN with every of his dad and mother, solely toddler. Works half time at Starbucks. Not at current partnered. No earlier psychiatric historic previous. Indicators began throughout the remaining 1.5 months when he discovered he is being activated with the Navy Reserves. His MOS is SK1 Storekeeper; no medical sicknesses Allergic reactions: NKDA; sleeps 6.5 hrs; urge for meals good Symptom Media. (Producer). (2017).
Teaching title 15 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-15 Teaching
Title 21
Determine: Sergeant Patrick Flanrey Gender: male Age:27 years outdated T- 97.4 P- 84 R 18 B/P134/88 Ht 5’eight Wt 167lbs Background: He entered the military merely after highschool and did three prolonged excursions of obligation in warzones. He separated from energetic obligation throughout the Marines (MOS 0800 Space Artillery) decrease than a yr prior to now after eight years of service. He is engaged to be married (no date set) and is at current working as a furnishings salesman. He acknowledged he grew up poor and would not do quite a bit else if he didn’t go into the military. He denies ever using any drugs and avoids alcohol on account of his father was “sloppy drunk.” Father continues to be alive, unwell (DM, liver sickness, HTN), nonetheless ingesting. Paternal grandfather was moreover a veteran and suffered melancholy at cases though he in no way suggested anyone moreover the affected individual as a result of their combat connection. Mother is alive and successfully, nonetheless “caring for dad.” He has one youthful and one older sister. He lives in a definite state, roughly 5 hours from his dad and mother and siblings. After the military, he and his fiancé moved on account of she purchased a quite a bit higher different. They want kids someday and hope to marry in a yr or two. Has service-connected bronchial bronchial asthma, seasonal allergy signs; no hx of psychiatric or substance use remedy. Symptom Media. (Producer). (2016).
Teaching title 21 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-21
Teaching Title 37
Determine: Mr. Tony Patelli Gender: male Age:18 years outdated T- 98.eight P- 94 R 20 126/88 Ht 5’4 Wt 131lbs Background: Lives alone in New York, raised by dad and mother in New Jersey, solely toddler. He is a fulltime scholar at native folks college for graphic design. Has a girlfriend from highschool. No earlier psychiatric historic previous. No medical sicknesses; no historic previous of psychiatric remedy; denied drugs or alcohol; Allergic reactions: NKDA; sleeps 7.5 hrs; urge for meals eats three meals/day, likes to keep up a routine schedule. Symptom Media (Producer). (2016).
Teaching title 37 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-37 Teaching
Title 40
Determine: Ms. Barbara Weidre Gender: female Age: 56 years outdated T- 99.zero P- 99 R 24 132/89 Ht 5’4 Wt 168lbs Background: Lives alongside together with her husband in Knoxville, TN, has one daughter age 23. She has in no way labored. Raised by mother, she in no way knew her father. Mother with hx of rigidity; no substance hx for affected individual or family. No earlier psychiatric remedy. Has one glass purple wine with dinner. Sleeps 10-12 hrs; urge for meals decreased. Has overactive bladder, untreated. Allergic to Phenergan; complains of problems, takes prn ibuprofen, has diarrhea as quickly as weekly, takes OTC Imodium. Symptom Media. (Producer). (2016).
Teaching title 40 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-40
Teaching Title 55
Determine: Matilda Johnson Gender: female Age: 9years outdated She refused vitals, ht and wt Vaccinations are up to date; not off course with developmental milestones. Urge for meals, she is a picky eater per mom. NKDA Symptom Media. (Producer). (2017).
Teaching title 55 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-55
Teaching Title 85
Determine: Mrs. Carol Holliman Gender: female Age: 42 years outdated T- 98.zero P- 77 R 18 132/72 Ht 5’zero Wt 127lbs Background: Born and raised in Northern Ireland, dad and mother launched her and her 5 sisters to U.S. when she was 15 to go to U.S. school the place she met her husband. They dwell in Charleston, SC. She obtained her bachelor’s diploma in coaching; no historic previous of psychological nicely being or substance use remedy, no family historic previous. Her husband reported a modern school capturing shut by three weeks prior to now “flipped a change” in her. She is watching the knowledge 24/7, barely sleeping, and even when she does, it is just some hours, Urge for meals is decreased. Hx of hysterectomy, NKDA, no approved hx. Symptom Media. (Producer). (2017).
Teaching title 85 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-85
Teaching Title 95
Determine: Ms. Zahara Williams Gender: female Age: 23 years outdated T- 97.5 P- 86 R 18 112/64 Ht 5’2 Wt 130lbs Background: Born and raised in Jacksonville, FL alongside together with her mother and a few older brothers; her mother has hx of rigidity, brothers hx of cannabis; no earlier psychological nicely being remedy, no medicine; NKDA; no approved hx; sleeping 7 hrs; Urge for meals is good. She has an affiliate of arts diploma and works for Amazon warehouse. She has DX of diabetes since age 5. She recollects having good drawback alongside together with her medical scenario (uncontrolled blood sugar, stopping with mother over needle sticks, “kids want candy, and I was so completely completely different as a result of my meals plan”). She recollects having a difficult relationship alongside together with her mother who was a nurse and really labored laborious to control her daughter’s diabetes. She should not be in a relationship, identifies as lesbian nevertheless has not come out to the family. Solely her closest co-workers know she is gay, and she or he doesn’t plan to return out throughout the near future. She acknowledged, “I don’t see why I might, they wouldn’t understand, and this is not very important correct now.” Symptom Media. (Producer). (2018).
Teaching title 95 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-95
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NRNP/PRAC 6635 Full Psychiatric Assessment Template
Week (enter week #): (Enter job title)
Scholar Determine
School of Nursing-PMHNP, Walden Faculty
NRNP 6635: Psychopathology and Diagnostic Reasoning
Faculty Determine
Process Due Date
Subjective:
CC (chief criticism):
HPI:
Earlier Psychiatric Historic previous:
· Widespread Assertion:
· Caregivers (if related):
· Hospitalizations:
· Remedy trials:
· Psychotherapy or Earlier Psychiatric Prognosis:
Substance Current Use and Historic previous:
Family Psychiatric/Substance Use Historic previous:
Psychosocial Historic previous:
Medical Historic previous:
· Current Medication:
· Allergic reactions:
· Reproductive Hx:
ROS:
· GENERAL:
· HEENT:
· SKIN:
· CARDIOVASCULAR:
· RESPIRATORY:
· GASTROINTESTINAL:
· GENITOURINARY:
· NEUROLOGICAL:
· MUSCULOSKELETAL:
· HEMATOLOGIC:
· LYMPHATICS:
· ENDOCRINOLOGIC:
Aim:
Bodily examination: if related
Diagnostic outcomes:
Analysis:
Psychological Standing Examination:
Differential Diagnoses:
Reflections:
References
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WK4 NRNP6635 Process: Assessing and Diagnosing PTSD and OCD
Concern is an emotional response to an exact or imagined imminent menace, whereas fear is an anticipation of future menace (APA, 2013). Fear or anxiousness indicators (usually combined with avoidant actions) are present in all anxiousness issues, albeit the reasons and severity differ. Fear and anxiousness indicators are frequent in trauma-related issues, nevertheless they don’t seem to be the precept distinguishing subject. Trauma can strike at any time. It is not stunning that kids are further inclined to trauma than adults. Childhood traumas, resembling sexual abuse, can impact the rising thoughts’s physiology. Persistent hyperarousal of the stress response later in life makes the actual individual weak to further stress and stress-related issues.
Observe assessing and diagnosing people with PTSD, OCD, and anxiousness issues. It’s possible you’ll be requested to justify your differential prognosis using DSM-5 requirements.
Prep:
Overview this week’s Finding out Belongings and consider strategies to evaluate and diagnose anxiousness, OCD, and trauma and stressor-related illnesses.
Get hold of the Full Psychiatric Assessment Template. Have a look at the Full Psychiatric Assessment Exemplar for a completed Assessment doc.
Choose a video case analysis from the Video Case Alternate options throughout the Finding out Belongings by Monday. Have a look at the given video case and the “Case Historic previous Research” doc for further case data, retaining in ideas the Assessment template’s requirements.
Take into consideration the affected individual’s historic previous assortment desires.
Take into consideration the interview questions you’d should ask.
Decide three differential prognosis for the affected individual.
