What observations did you make during the psychiatric assessment? 

Assignment: Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders

Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome.

For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder.

To Prepare

· Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating schizophrenia spectrum, other psychotic, and medication-induced movement disorders.

 

 

· Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.

· Review the video,  Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.

· Consider what history would be necessary to collect from this patient.

· Consider what interview questions you would need to ask this patient.

The Assignment

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

· 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 the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the  DSM-5-TR diagnostic criteria for each differential diagnosis and explain what  DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.

· Plan: What is your plan for psychotherapy? What is 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. Also incorporate one health promotion activity and one patient education strategy.

· Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

· Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

What is your conflict management style?

1. What is your conflict management style?

 

2. The conflict management style I need to work on?

 

3. How can you practice using your high scoring conflict style in effective communication in everyday life?

 

4. How can you practice working on your low scoring conflict style in effective communication in everyday life?

Explain the major components of blockchain. Be sure to include how blockchain is affecting a global economy and how you see it growing in the future.

Big Data Analytics: 2 Pages

Find a peer-reviewed scholarly journal article discussing big data analytics. Complete a review of the article by writing a two overview of the article. This will be a detailed summary of the journal article, including concepts discussed and findings. Additionally, find one other source (it does not have to be a peer-reviewed journal article) that substantiates the findings in the article you are reviewing.

 

Part 2: Practical Connection 2 Pages

Course: Information Technology in a Global Economy

Provide a reflection of at least 500 words (or 2 pages double spaced) of how the knowledge, skills, or theories of this course have been applied, or could be applied, in a practical manner to your current work environment. If you are not currently working, share times when you have or could observe these theories and knowledge could be applied to an employment opportunity in your field of study.

 

Part 3: 8 Pages

The final portfolio project is a three- part activity. You will respond to three separate prompts but prepare your paper as one research paper. Be sure to include at least one UC library source per prompt (which means you’ll have at least 3 sources cited).

Start your paper with an introductory paragraph.

· Prompt 1 Blockchain (2 pages): Explain the major components of blockchain. Be sure to include how blockchain is affecting a global economy and how you see it growing in the future.

· Prompt 2 Big Data (2 pages): Describe your understanding of big data and give an example of how you’ve seen big data used either personally or professionally. In your view, what demands is big data placing on organizations and data management technology?  How does big data affect a global economy.

· Prompt 3 Government and Policies (2 pages): Discuss the role government plays in a global economy. Also, look at what policies are currently in place and then discussion what policies should be put in place.

· Conclude your paper with a detailed conclusion section (1-2 pages long).

List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Focused Nose Exam: Case #1

A 28 year old female comes in complaining of a runny nose and itchy eyes. States runny nose, itchy eyes, and ears felt full approximately 9 days ago. “I get this every spring and it seems to last six to eight weeks”. Describes nose is runny with clear mucus. Sneezes on and off all day. Eyes itch so bad she just wants to scratch them out, sometimes feels a tickle in her throat and ears feel full and sometimes pop. Last year took Claritin with relief. Charlotte is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow, but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.

 

 

The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case.  List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

 

For this assignment there will be information that you will need to make up to complete the entire soap note. Please use the soap note exemplar example as a guide. I think it is important to document a detailed HEENT exam and HEENT ROS for this assignment. It is also important to document a heart and lung exam on each patient. For the Subjective Data (document constitutional/general ROS) on all patients as well and Psych. Please use your clinical guide to documentation textbook as a guide as needed for documentation purposes.

 

attached template sample and empty template to fill. follow instructions, and comply with references

using formal APA writing convention, using the 7th Edition

Plagiarism free work…. Thank you

From the YAWP reading, why did George M. Garcia refuse the Purple Heart? 

TOPIC OPTIONS:

1)    Vietnam War

a.    From Chapter 27 of the YAWP reader, read the following.

i.    Barry Goldwater Barry Goldwater, Republican Nomination Acceptance Speech

ii.    George M. Garcia, Vietnam Veteran, Oral Interview

b.    Read Chapter 30 of the US History online textbook, especially pages 822 – 824.

c.     Listen to the “Born in the USA” song and Read the lyrics.

Prepare your work and include answers to the following questions:

From the YAWP reading, what is Barry Goldwater’s overall message?

From the YAWP reading, why did George M. Garcia refuse the Purple Heart?

Why did the U.S. get involved in the Vietnam War?

What impact did the My Lai Massacre have on relations with the South Vietnamese, on U.S. soldiers, on the American people, and on the presidency?

Describe the events that fueled antiwar sentiment in the Vietnam era.

According to John Kerry, how did many U.S. soldiers treat Vietnamese civilians?

Did we compensate Vietnam for the ecological disaster caused by Agent Orange and other herbicides?

Do some research online.

What is the legacy of the Vietnam War?

What is the real meaning of the song “Born in the USA”? Shocked?

OR

2)    Civil Rights Movement

a.    From Chapter 27 of the YAWP reader, read the following

i.    Brown v. Board of Education of Topeka (1954)

ii.    Rosa Parks on Life in Montgomery, Alabama (1956-1958)

iii.    Fannie Lou Hamer: Testimony at the Democratic National Convention 1964

iv.    Lyndon Johnson on Voting Rights and the American Promise (1965)

b.    Read Chapter 28 of the US History online textbook, especially pages 775 – 778 and pages 804 – 805.

Prepare your work and include answers to the following questions:

From the Brown v Board of Education of Topeka and the Rose Parks on Life in Montgomery, how do these readings reveal the continuing struggle to end racism and racial segregation?

From the YAWP reading, according to President Johnson why are “opportunities” not enough to ensure the civil rights of African-Americans?

From the YAWP reading, what shocked up the most from Fannie Lou Hamer’s Testimony? Why?

Why were people so angry, to the point of violence, about integration of our schools?

What is your reaction to the Literacy Test?

What was the premeditated purpose of the Literacy Test?

Could you pass this test?

In what ways do we continue to struggle with civil rights and civil liberties issues in the 21st century?