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Posted: May 1st, 2022
Nursing assignment help - Essay example>Soap Note
Select a child or adolescent patient that you examined during the last 3 weeks.
Present the full complex case study. Get custom essay samples and course-specific study resources via course hero homework for you service - Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.
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Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
Specifically address the following for the patient, using your SOAP note as a guide:
· Subjective: What 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?
· Objective: What observations did you make during the psychiatric assessment?
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· Assessment: Ace my homework - Write my paper - Online assignment help tutors - Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms. · Assessment: Ace my homework - Write my paper - Online assignment help tutors - Discuss their psychological status assessment results. What were your differential analyses? Give at least three potential conclusions and why you picked them. Show them from most elevated need to least need. What was your essential determination, and why? Depict how your essential determination lines up with DSM-5 analytic models and upheld by the patient's indications.
· Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Get custom essay samples and course-specific study resources via course hero homework for you service - Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
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· Reflection notes: What would you do differently with this patient if you could conduct the session over? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.
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