Grand Rounds Dialogue: Advanced Case Research Presentation
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This week you take part within the ultimate of three clinical discussions referred to as grand rounds. When it’s your week to current, you’ll create a centered SOAP observe and a brief didactic (educating) video presenting an actual (however de-identified) complicated patient case from your practicum experience.
It is best to have acquired an project from your Teacher letting you realize which week of the course you might be assigned to current. Any pupil who has not but introduced ought to current this week.
TO PREPARE:
Select an older adult patient from your clinical experience that presents with important concern. Create a centered SOAP observe for this patient utilizing the template within the Sources.
Then, primarily based on your SOAP observe of this patient, develop a video case examine presentation. Put aside time to apply what you’ll say beforehand and guarantee that you’ve the suitable lighting and tools to file the presentation.
Your presentation ought to embrace aims for your viewers, at the least three potential dialogue questions/prompts for your classmates to reply to, and at the least 5 scholarly assets to help your diagnostic reasoning and therapy plan. Select an older adult patient from your clinical experience who’s presenting with substantial concern and write about her or him. Create a centered SOAP observe for this patient utilizing the template supplied within the Sources part of this web page.
Then, utilizing the SOAP observe you took of this patient, create a video case examine presentation for her or him. Put together for the presentation by scheduling time to apply what you’ll say and ensuring you may have the right lighting and tools to file the presentation earlier than it begins.
At the least three potential dialogue questions/prompts for your classmates to answer to, in addition to at the least 5 tutorial references to help your diagnostic rationale and therapy plan, ought to be included in your presentation for your viewers.
Video project for this week’s presenters:
Report your self presenting the complicated case examine for your clinical patient. In your presentation:
Gown professionally and current your self in knowledgeable method.
Show your picture ID firstly of the video once you introduce your self.
Be certain that you don’t embrace any info that violates the rules of HIPAA (i.e., don’t use the patient’s title or every other figuring out info).
State three–four aims for the presentation which are focused, clear, use acceptable verbs from Bloom’s taxonomy, and tackle what the viewers will know or have the ability to do after viewing.
Current the total complicated case examine. Embrace chief grievance; historical past of current sickness; any pertinent previous psychiatric, substance use, medical, social, household historical past; most up-to-date psychological standing examination; present psychiatric prognosis together with differentials that had been dominated out; and plan for therapy and administration.
Report regular diagnostic outcomes because the title of the take a look at and “regular” (reasonably than particular worth). Irregular outcomes ought to be reported as a selected worth.
Pose three questions or dialogue prompts, primarily based on your presentation, that your colleagues can reply to after viewing your video.
Be succinct in your presentation, and don’t exceed eight minutes. Particularly tackle the next for the patient, utilizing your SOAP observe as a information:
Subjective: What particulars did the patient present concerning 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 Assessment?
Assessment: Focus on their psychological standing examination outcomes. What had been your differential diagnoses? Present a minimal of three potential diagnoses and why you selected them. Record them from highest precedence to lowest precedence. What was your major prognosis, and why? Describe how your major prognosis aligns with DSM-5 diagnostic standards and is supported by the patient’s signs.
Plan: What was your plan for psychotherapy (embrace one well being promotion exercise and patient schooling)? What was your plan for therapy and administration, together with various therapies? Embrace pharmacologic and nonpharmacologic therapies, various therapies, and follow-up parameters, in addition to a rationale for this therapy and administration plan.
Reflection notes: What would you do in another way with this patient if you happen to may conduct the session once more? If you’ll be able to observe up with your patient, clarify whether or not these interventions had been profitable and why or why not. If you weren’t capable of conduct a follow-up, focus on what your subsequent intervention can be.
