Select a child/adolescent or adult patient from your clinical experience that presents with a significant concern

Select a child/adolescent or adult patient from your clinical experience that presents with a significant concern

COMPLEX CASE STUDY PRESENTATION

In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a Focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience.

You should have received an assignment from your Instructor letting you know which week of the course you are assigned to present.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE:

  • Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
  • Select a child/adolescent or adult patient from your clinical experience that presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources.(Patient case: Chief complaint: “I am here for a follow-up visit.’ HPI: The patient is a 15-year-old Nigerian American male who presents today for a follow-up visit. Ptwas diagnosed with depression 6 weeks ago. He reports he made his parentsaware of his sexuality that he is homosexual, and his parents are notsupportive of him due to cultural reasons. He states he is ”shunned” bymost of his Nigerian friends in school and other family members other thanhis uncle, who advised him to seek therapy. Pt has been in psychotherapysessions for four months and states he is progressing. Pt verbalizes he isglad his uncle and his family are supporting him. He reports he is ”hurt’and cannot forgive his parents for ”neglecting” him. Pt reports feeling lowself-esteem and sad. He states he can eat once a day and has difficultyfalling asleep. Pt reports no side effects of current medications. MentalStatus Examination: The pt is alert and oriented to person, place, time,event. He appears sad and withdrawn. Well-groomed, but skin looks dry. Pt’sjudgment and thought processes is normal. Speech is slow but clear andanswers all questions and makes sporadic eye contact with the practitioner.His affect is euthymic. He denies suicidal thoughts or hallucinations.Diagnosis: F32.2 Major depressive disorder, single episode, severe withoutpsychotic features Treatment plan Pharmacological: Increase Lexapro from 5 mgto 10 mg PO daily Non-Pharmacological: Pt and uncle educated on causes andsymptoms of depression, medication benefits, and potential adverse sideeffects. They are also encouraged to reports suicidal thoughts or intents. Tofollow up in 3 weeks.). All SOAP notes must be signed by your Preceptor. When you submit your SOAP note, you should include the complete SOAP note as a Word document and PDF/images of completed assignment signed by your Preceptor. You must submit your SOAP Note using Turnitin.
    Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Late Policies.
  • Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice what you will say beforehand, and ensure that you have the appropriate lighting and equipment to record the presentation.
  • Your presentation should include objectives for your audience, at least 3 possible discussion questions/prompts for your classmates to respond to, and at least 5 scholarly resources to support your diagnostic reasoning and treatment plan.

Video assignment for this week’s presenters:

Record yourself presenting the complex case study for your clinical patient. In your presentation:

  • Dress professionally and present yourself in a professional manner.
  • Display your photo ID at the start of the video when you introduce yourself.
  • Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
  • State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.
  • Present the full complex case study. 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.
  • 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.
  • Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video.
  • Be succinct in your presentation, and do not exceed 8 minutes. 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?
    • Assessment: 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-TR diagnostic criteria and is supported by the patient’s symptoms.
    • 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? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Discuss an identified social determinate of health impacting this patient’s mental health status and provide your recommendation for a referral to assist this patient in meeting this identified need (students will need to conduct research on this topic both in the literature and for community resources).
    • Reflection notes: What would you do differently with this patient if you could conduct the session again? 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.


Required Readings

RECOMMENDED READINGS

·  American Psychiatric Association. (2018). Practice guideline for the pharmacological treatment of patients with alcohol use disorderLinks to an external site.. https://psychiatryonline.org/doi/book/10.1176/appi.books.9781615371969

·  American Society of Addiction Medicine. (2020). Clinical practice guidelines on alcohol withdrawal managementLinks to an external site.. https://www.asam.org/docs/default-source/quality-science/the_asam_clinical_practice_guideline_on_alcohol-1.pdf?sfvrsn=ba255c2_2 

·  American Society of Addiction Medicine. (2020). National practice guideline for the treatment of opioid use disorder: 2020 focused updateLinks to an external site.. http://eguideline.guidelinecentral.com/i/1224390-national-practice-guideline-for-the-treatment-of-opioid-use-disorder-2020-update/0

Requirements: use template   |   .doc file

Nursing

Answer preview for the paper on ‘Select a child/adolescent or adult patient from your clinical experience that presents with a significant concern’

patient from your clinical experience

APA 1292 words

Click the purchase button below to download full answer…….