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Assignment: Creating a PowerPoint Presentation with voiceover on a Common Problem in Psychiatry

The objective of this assignment is for students to research and present information on a common problem in psychiatry using a PowerPoint presentation. The presentation should include relevant content, visual aids, and effective communication to educate and engage the audience.

Instructions:

Choose a common mental health issue or psychiatric disorder. Examples include depression, anxiety disorders, bipolar disorder, schizophrenia, or attention-deficit/hyperactivity disorder (ADHD).

Conduct in-depth research on the chosen problem, focusing on prevalence, symptoms, causes, risk factors, and evidence-based treatment approaches.

Organize your PowerPoint presentation with the following sections:Introduction to the selected problemPrevalence and impact on individuals and societyClinical presentation and diagnostic criteriaEtiology and risk factorsEvidence-based treatment options: Include specific medications with side effects vs benefits vs risks discussed along with black box warnings etc.)Case studies or examples (if applicable)Conclusion and potential future developments

*Include visuals such as graphs, charts, images, or infographics to enhance understanding and engagement. Ensure that visuals are relevant and support the information being presented.

*Design slides with a clear and consistent layout. Use legible fonts, and appropriate colors, and avoid clutter. Each slide should have a focused message.

*Provide detailed speaker’s notes for each slide. This should include the script or key points you would discuss while presenting each slide.

References:

Include a slide with a list of references in APA or your preferred citation style.Presentation Duration Aim for a presentation duration of approximately 5 minutes. Practice delivering the presentation to ensure it fits within the time frame. *Powerpoint presentation with voice-over:  (MO1, MO2, MO3, MO4, MO7)

THIS MUST BE SUBMITTED AS A POWERPOINT FILE. I CANNOT ACCEPT DROPBOX, GOOGLE DRIVE, ETC.

Posted in Uncategorized

Dealing With Nurse Burnout in Healthcare

While really focusing on a patient can be exceptionally fulfilling, it additionally includes numerous stressors. What’s more, since providing care is frequently a drawn-out test, the enthusiastic effect can snowball after some time. On the off chance that the pressure of providing care is left unchecked, it can negatively affect your wellbeing, connections, and perspective—in the end prompting nurse burnout, a condition of enthusiastic, mental, and actual depletion. What’s more, when you get to that point, both you and the individual you’re really focusing on endure.

What Is Nurse Burnout? 

Nurse burnout is the state of mental, physical, and emotional exhaustion caused by sustained work-related stressors such as long hours, the pressure of quick decision-making, and the strain of caring for patients who may have poor outcomes. As you face these compounding factors, you may start feeling disengaged and detached, the first warning signs of burnout. If you don’t address this situation with good self-care, burnout can lead to feelings of cynicism, hopelessness, and even depression.

Nursing is one of the most stressful occupations. It is common to find burnout syndrome in health professionals, especially in the field of nursing. Some professionals manage to deal with the symptoms, but those who do not adapt to the long-term working conditions, insufficient number of professionals, and poor communication tend to feel physically and emotionally worn out. For nurses, burnout reduces the ability to provide care. Every day, nurses face the dilemma of being human, empathetic, and sensitive, in a work environment of many responsibilities. Situations discovered by professionals in patients, such as costly recovery or non-recovery, as well as the lack of capacity to deal with dark situations, such as death, can create a feeling of impotence and professional dissatisfaction. Therefore, burnout prevention in health professionals, including nurses, has an important significance in promoting the physical and mental health of these service providers. Burnout affects personality, performance, and productivity at work. The emotional responses that the disease can cause in the long run lead to a mental strain that will hardly neutralize spontaneously.

Occupational stress in the health field is directly related to specific situations. Issues of relationship, ambiguity and conflict of functions, double working hours, and pressures undertaken by superiors, as well as poor working conditions, lack of material resources, and equipment without proper maintenance, contribute to frequent damage or inappropriate improvisations, causing serious errors that compromise patient care.

Scientific work on the burnout remains scarce in terms of prevention and control of burnout in nurses, especially as related to actions that can lessen the event. Most of the studies have focused on the actions for combatting burnout in nurses when the professionals already have the syndrome. Studies on disease prevention actions are also insufficient. In addition, the use of different methods to measure Burnout or well-being in nurses also represents a limitation.

What Causes Nurse Burnout

1. Long Hours

Another contributing factor is the growing demand for nurses as the Baby Boomer generation ages and the prevalence of chronic disease increases. The U.S. Bureau of Labor Statistics projects that employment for registered nurses will grow by 12% between 2018 and 2028. That’s good news if you are looking for a nursing job. However, the pace of this increase has led to growing pains: understaffed hospitals, overworked nurses hence nurse burnout.

2. Lack of Sleep

One of the largest burnout risks for professionals in any industry is chronic lack of sleep. This is particularly common for nurses who work long hours and consecutive shifts. In a survey conducted by Kronos Inc., 25% of nurses reported that they were unable to get enough sleep between shifts.

3. High-Stress Environment

Every nursing specialty brings its own challenges, but some specialties are naturally more stressful than others. If you work in the emergency department with telemetry or intensive care, you may have to deal with combative patients, traumatic injuries, ethical dilemmas, and a high mortality rate, all of which are linked to high stress levels and an increased risk of burnout. In a study in Psychooncology, 30% of oncology nurses reported emotional exhaustion, while 35% reported feelings of low personal performance—both symptoms of burnout syndrome.

4. Lack of Support

If your workplace lacks a culture of good teamwork and collaboration practices, burnout may be more prevalent there. While collaboration is important in most professions, in nursing, it can actually save lives. Poor teamwork—which is characterized by conflict, sub-par communication, lack of cooperation, and even peer bullying—makes for an unpleasant work environment and can lead to medical errors.

Tips to Help Nurses Deal with Burnout

1. Practice acknowledgment. At the point when confronted with the shamefulness of a friend or family member’s disease or the weight of providing care, there’s regularly a need to sort out the circumstance and ask “Why?” But you can spend an enormous measure of energy harping on things you can’t change and for which there are no reasonable answers. Furthermore, by the day’s end, you won’t feel any better. Attempt to keep away from the enthusiastic snare of feeling frustrated about yourself or looking for somebody to fault.

2. Embrace your health care decision. Recognize that, regardless of any feelings of hatred or weights you believe, you have settled on a cognizant decision to give care. Zero in on the positive purposes for that decision. Maybe you give care to compensate your parent for the consideration they surrendered you developing. Or on the other hand possibly this is a direct result of your qualities or the model you need to set for your kids. These profound, important inspirations can help support you through troublesome occasions.

3. Search for the silver lining. Consider the ways providing care has made you more grounded or how it’s carried you nearer to the individual you’re dealing with or to other relatives.

4. Try not to let providing care assume control over your life. Since it’s simpler to acknowledge a troublesome circumstance when there are different aspects of your life that are fulfilling, it’s significant not to let providing care assume control over your entire presence. Put resources into things that give you importance and reason whether it’s your family, church, a most loved side interest, or your vocation.

5. Zero in on the things you can handle. You can’t want for additional hours in the day or power your sibling to assist more. As opposed to worrying over things you can’t handle, center around how you decide to respond to issues.

6. Commend the little triumphs. In the event that you begin to feel debilitate, advise yourself that every one of your endeavors matter. You don’t need to fix your cherished one’s sickness to have an effect. Try not to think little of the significance of causing your cherished one to have a sense of security, agreeable, and adored!

7. Get the appreciation you need

Feeling appreciated can go far toward tolerating an upsetting circumstance, however getting a charge out of life more. Studies show that guardians who feel appreciated experience more prominent physical and enthusiastic wellbeing. Providing care really makes them more joyful and better, notwithstanding its requests. However, how would you be able to respond if the individual you’re really focusing on is not, at this point ready to feel or show their appreciation for your time and endeavors?

8. Envision how your loved one would react in the event that they were sound. In the event that they weren’t engrossed with disease or agony, how might your adored one feel about the affection and care you’re giving? Advise yourself that the individual would offer thanks on the off chance that they had the option.

9. Commend your own endeavors. In case you’re not getting outside approval, discover approaches to recognize and remunerate yourself. Help yourself to remember the amount you are making a difference. In the event that you need something more solid, have a go at making a rundown of the relative multitude of ways your providing care is having an effect. Allude back to it when you begin to feel low.

10. Converse with a steady relative or companion. Uplifting feedback doesn’t need to come from the individual you’re really focusing on. At the point when you’re feeling undervalued, go to loved ones who will hear you out and recognize your endeavors.

In case you’re like many nurses who are struggling to request for help. Unfortunately, this attitude can lead to feeling isolated, disappointed and even discouraged. Instead of battling all alone, exploit nearby assets for parental figures.

Get a Good Medical Personal Statement

Have you heard that a well-written medical school personal statement makes over 50% of your score as an applicant? Yes, it does! Contributing a worthy statement might become a start of your medical career. You may think it is enough saying to Admission Committee: “Since childhood, I have been dreaming of saving people’s lives”. Believe us, it is not enough to be admitted. Your Medicine Personal Statement is your chance to really explain who you are, and why you want to study Medicine. You should think of it as your opportunity to inspire Admission Tutors with your motivation. Get your Personal Statement right, and you’ll really stand out from the pool of other Med School applicants.

Such a wish sounds noble, but there are many professions making a great contribution to the well-being of other people. To reach your objective, prove helping people is your mission. How to do this? Persuade that medicine is your calling – write a top quality personal statement for medical school demonstrating strong points, great qualities, and benefits humankind can get if you become a doctor.

Challenging Exciting Stories Are Welcomed

Nobody promised it would be easy. The first challenge is choice of topic. Think of 1.5-page statement as of enjoyable adventure you have to go through with a medical school application. Brainstorm topic ideas. There are several winning variants for med school personal statement.

Why not tell about how excited you are about future experience? Remember, it is a competition! Be prepared for battle. Learn what is expected and exceed expectations. Sound creative and original to catch target audience attention. Explanatory and persuasive skills will be of great use. Explain how you can contribute to medicine. Mention research papers, if you already have publications. This would be a great benefit. Although it is not obligatory, why not to demonstrate an expertise you have, even as a student. You might tell a challenging story about an occasion that has completely changed your profession preferences. Regardless of chosen topic, the main key to success is to find your own tone and style that would sound natural.

Don’t exaggerate. No need to lie you have saved dozens of lives. But if you helped at least one person having a medical practice, it is a great plus. Let them realize you are ready for tough job and responsibility. Find best suitable words to characterize you as a reliable person who is strict about. Better demonstrate this through a story. Not your storytelling skills are checked but an ability to become a self-sacrificing specialist.

Helpful Tricks for Medical School Application Writing Process

Sitting in front of a clean sheet of paper puzzled how to write a personal statement for medical school? It is up to you to make writing process pleasant and enjoyable. Look at effective recommendations. They really work!

Organize time effectively

Preparation of top-notch quality medical statement requires much patience any worker obtaining medical profession must have. Don’t postpone until last minute. Reread, edit, proofread! Better leave statement for a while. Have a fresh look at writing in 1-2 days.

Concentrate on a specific point

Narrow topic writing about certain experience instead of sharing whole life story, plans for future. Highlight central idea. Prepare a list enumerating outstanding qualities. Brainstorm ideas for the best possible way to highlight them. Maximize chances to get accepted.

Show genuine interest in medicine

Prove that medicine sphere is your choice, not your mom’s, dad’s or granny’s. Words are your major weapon. Use it right carefully selecting each adjective characterizing you. Committee wants to discover more about your nature, reasons to connect life with medicine, and goals that are planned for future.

Stand out

Wish to help people is great but does this make unique? Everyone applying to the medical institution would say this. Not all applicants can be admitted. Take efforts making your statement different. Don’t think about standard reasons why everyone wants to work in a medical environment. Banality is the main enemy of success. Don’t be afraid to sound original. Think how to sell yourself at a higher price. Use promotional techniques to stand out. Make them want you and reject others. This is competition! Run, run, run! Never look back and reach the finish. Use honest, competitive methods.

Add secret ingredient to statement

Each tasty dish has secret component. Each person is unique having own secret ingredient. Reveal yours to make an unforgettable impression on Admission Committee. Raise interest in your personality. Include stories connected with career choice. Manage to intrigue avoiding vagueness.

Provide illustrative examples

Everyone knows: Better see than hear. People prefer seeing than listening to talks. Most applicants create nothing interesting listing good features: “ I am a well-organized person who feels compassion and sympathy”. No, no, no! Never do like this! Committee representatives will read hundreds of such unworthy senseless sentences. How to prove you have characteristics described? Words can’t be compared to actions. Use another tactic: instead of boasting saying “the best of the best”, tell life story about the incredible experience. Let officers make conclusions themselves.

Use understandable language

Don’t think the more complicated you’ll sound, the smarter you’ll look in front of Admission officers. Much better to choose a simple language. You are going to enter a medical school instead of art school. Doctors express thoughts concisely.

Write, re-write, let it sit, and write again!

Allow yourself 6 months of writing and revision to get your essay in submission-ready shape. This gives you the time to take your first pass, set your draft aside (for a minimum of 24 hours), review what you’ve written, and re-work your draft.

Stay focused.

Your personal statement should highlight interesting aspects of your journey—not tell your entire life story. Choose a theme, stick to it, and support it with specific examples.

Back off the cliches.

Loving science and wanting to help people might be your sincere passions, but they are also what everyone else is writing about. Instead, be personal and specific.

Find your unique angle.

What can you say about yourself that no one else can? Remember, everyone has trials, successes and failures. What’s important and unique is how you reacted to those incidents. Bring your own voice and perspective to your personal statement to give it a truly memorable flavor. 

Be interesting.

Start with a “catch” that will create intrigue before launching into the story of who you are. Make the admissions committee want to read on!

Embrace the 5-point essay format.

Here’s a trusty format that you can make your own:

  • 1st paragraph: These four or five sentences should “catch” the reader’s attention.
  • 3-4 body paragraphs: Use these paragraphs to reveal who you are. Ideally, one of these paragraphs will reflect clinical understanding and one will reflect service.
  • Concluding paragraph: The strongest conclusion reflects the beginning of your essay, gives a brief summary of you are, and ends with a challenge for the future.

Good writing is simple writing.

Good medical students—and good doctors—use clear, direct language. Your essays should not be a struggle to comprehend.

Be thoughtful about transitions.

Be sure to vary your sentence structure. You don’t want your essay to be boring! Pay attention to how your paragraphs connect to each other.

5 Mistakes You Won’t Be Forgiven

  • Don’t say you are sure you’ll be the greatest doctor among all those existing today. Nobody like boasters!
  • Never say you have had a working experience if in reality saw blood only on pictures.
  • Don’t ask anyone write statement instead of you. This will be evident!Committee members have good analytical skills.
  • Don’t try sound better than you are. Show your skills, vocabulary, commitment.
  • Don’t tell that you know everything. Be a knowledge-seeking, motivated applicant.

Ability to Stick to Format is a Must

Don’t hurry while writing, look at medical school personal statement examples. Consider but don’t copy samples. You can’t focus on uniqueness ignoring required structure. The personal statement is a document written according to certain rules, structure, format. Make it bright, vivid, and plagiarism-free. Generate original ideas able to engage a reader.

Medical school personal statements contain 5-6 paragraphs. Start with introduction playing a crucial role in grasping attention. Use effective hooks. The reader must feel impatient willing to continue reading the main body. Write 3-4 paragraphs about personal experience connected to medicine, explain you were born to work in the medical sphere providing persuasive evidence. Bear in mind: Simplicity is a sister of talent. Never make things complicated if everything is simple.

Summarize remembering conclusion is the final part able to spoil overall impression or change attitude even if the beginning wasn’t impressive. Do the best writing within the word limit. Meet requirements taking into account writing instructions. Stick to right format following tips. Success formula has three components. They are verbs rather than nouns. Be persistent, goal-oriented, self-confident. Become best possible candidate they have ever seen applying useful recommendations in practice.

Anxiety video case assignment

For this assignment, you will watch an assigned video clip that depicts a patient needing psychiatric/mental health treatment. You then will complete a treatment plan for this patient, following the attached formatting. You are required to follow APA 7, which includes, a title page, your typed treatment plan, and a references page. Each video case that is assessed should result in a treatment plan that is a minimum of 2 pages in length, in addition to the title page and references page. This is a treatment plan, not a research paper. Follow the rubric guidelines for grading criteria.

Just like in practice, there are times when all the preferred information may not be available, yet you still will need to formulate a treatment plan for the patient. Your treatment plan must include in-text citations and proper APA 7 formatting.

The following reference materials are required to be utilized and referenced:

  • DSM-5
  • Course Textbook
  • Drug guide of your choice (text or online)
  • 1 scholarly peer reviewed journal article, dated within the last 5 years, that supports your treatment plan. UptoDate is a wonderful site, but it is not considered a scholarly peer reviewed journal article.

The APA 7 style of writing is required. This includes (but is not limited to):

  • Proper grammar and composition, capitalization and sentence structure
  • APA 7 approved font (such as 12-point Times New Roman)
  • Double spaced paper with 1” margins
  • Paragraphs are to be left margin justified only
  • Paragraph indentions
  • Heading Levels (see APA p. 47-48)
  • References that are formatted as per APA 7. See chapter 9 of the APA 7.

How to properly cite and reference the DSM-5. For electronic versions:

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).

https:doi.org/10.1176/appi.books.9780890425596

For printed version:

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).

American Psychiatric Association.

Basic in-text citation for the DSM-5:   (American Psychiatric Association, 2013).

Treatment Plan: What to include and how to format the treatment plan

Your Treatment plan should include the following categories:

  1. Title page
  2. Content of treatment plan (The title of your treatment plan should be on line 1 of page 2).
    1. Video # or Discussion Board Prompt #
    2. Brief description of the patient 
    3. Brief explanation of the presenting symptoms
    4. Any known medical history, allergies, etc. 
    5. Your psychiatric diagnosis (supported by the DSM-5).
    6. List 3 of the differential diagnosis from the DSM-5, and briefly state why that was chosen as a differential diagnosis, and not as the main diagnosis. (See course materials on Differential Diagnosis) (supported by the DSM-5).
    7. Suicide and/or homicidal risk assessment (this includes ideation, intent, plan, means, etc.).
    8. What psychiatric tools or scales you used (or that you would use) to help support your diagnosis (include citations).
    9. Medications being ordered 
      1. Include name of medication(s) and what the med is used for (include citation)
      2. Include the route, dosage, frequency (include citation)
      3. Include black box warnings or what the pt needs to know/foods to avoid, etc. (include citation)
    10. Non-pharmacological treatments that are being ordered (include citation that supports these).
    11. Any labs or medical tests that need to be completed to rule out organic causes, for medication monitoring, and so forth (include citation). (include a short line stating why each lab/test is being ordered)
    12. Questions that you would ask to further solidify your diagnosis (brief list)
    13. Any further directives/resources for the patient (this would include, follow up with primary doctor to monitor HTN or diabetes; directives to follow-up with other members of the comprehensive treatment team; safety plan if you are sending the pt home and they have suicidal or homicidal thoughts; return for medication assessment in x number of weeks, etc. This also includes support group and hotline phone numbers for things like SI and SUD).
  3. References Page – include all citations used in the paper, formatted per APA 7, double spaced and in alphabetical order. References are to include the DSM-5, the course textbook, a drug book of your choice (text or online), and 1 scholarly journal article reference within the last 5 years, for each of the videos or discussion board prompts being assessed.

Note:

                Direct quotations should be kept to a minimum and properly cited as per the APA 7. It is imperative that you synthesize the course information into your own words, using minimal direct quotations from scholarly journal articles to support your treatment plan. Academic integrity is essential as proper citations give credence and reliability to your treatment plan.

DSM-5 & Differential Diagnosis

In order to effectively treat patients, a reliable diagnosis and treatment recommendation is essential. The DSM-5 provides a definition for each mental health disorder along with diagnostic criteria that must be met for each diagnosis. These diagnoses are designed to “help clinicians to determine prognosis, treatment plans, and potential treatment outcomes for their patients” (American Psychiatric Association, 2013, p. 20). Diagnosis are then made after performing a clinical interview with the patient, using DSM-5 descriptions, criteria, and using clinician judgment (American Psychiatric Association, 2013).

 

  1. All psychiatric disorders have a categorical place in the DSM -5. It includes the symptoms that must be present with specifiers that allow for a more specific diagnosis that help with the development of a treatment plan. (Example: Major depressive disorder with psychotic features).

 

  1. Most psychiatric disorders (and psychiatric emergencies) require a thorough suicide risk assessment. If the patient in the DB or video requires a suicide risk assessment you must mention that clearly, as well as giving the side effects of any meds that may make suicidal thinking worse, as well as a safety plan.

 

  1. Differential diagnoses: A reliable diagnosis is required to effectively treat the patient and to have positive treatment outcomes. The differentials provide for clinicians and alternate diagnosis that could be considered if it is proven that the patient does meet the criteria for the primary diagnosis that was chosen.

 

A clinician does not randomly come up with a differential diagnosis on their own. The DSM-5 provides for clinicians, differential diagnosis for each primary diagnosis. They are listed in the DSM-5 at the end of each diagnosis chapter. The differentials are listed in order of prevalence. For example, of all the patients diagnosed with Bipolar 1, if that diagnosis was proven not to be correct, most often the correct diagnosis is found to be first, major depressive disorder, then second most frequent is the 2nd differential listed, then the 3rd most frequent is the 3rd differential that is listed. So the differentials should be alternate diagnosis that you considered or wrestled with as you were determining the primary diagnosis for the patient.

 

For example, if you have a patient who appears with a mood disorder, you may be considering depressive disorder or bipolar 1 disorder. Upon examining the diagnostic criteria in the DSM-5 for bipolar 1 (page 123-131) you determine that bipolar 1 is the diagnosis that the patient meets the criteria for. You must then look to the differential diagnosis that are listed in the DSM-5 (for bipolar 1 the differentials are on page 131-132) and you choose 2 or 3 of them that your patient closely matches the criteria for. You then briefly explain why you chose bipolar 1, as opposed to the differential diagnosis of major depressive disorder (for example).

               

Watch and assess the following video case: 

Posted in Uncategorized

Treatment Plan

PLEASE READ THE INSTRUCTIONS ATTACHED CAREFULLY!!

Please do not just go into symptom media and pick a video case. You must first log in to Symptom media then go to the link under the video assignment instructions each week and click on it and it will take you directly there.

Module Assignments:

For this assignment, you will watch an assigned video clip that depicts a patient needing psychiatric/mental health treatment. You then will complete a treatment plan for this patient, following the attached formatting. You are required to follow APA 7, which includes, a title page, your typed treatment plan, and a references page. Each video case that is assessed should result in a treatment plan that is a minimum of 3 pages in length, in addition to the title page and references page. This is a treatment plan, not a research paper.Follow the rubric guidelines for grading criteria.

Just like in practice, there are times when all the preferred information may not be available, yet you still will need to formulate a treatment plan for the patient. Your treatment plan must include in-text citations and proper APA 7 formatting. You are writing this as if you are the licensed PMHNP writing orders for this patient.

The following reference materials are required to be utilized and referenced:

  • DSM-5
  • Course Textbook
  • Drug guide of your choice (text or online) (that has a current DATE)
  • 1 scholarly peer reviewed journal article, dated within the last 5 years, that supports your treatment plan. UptoDate is a wonderful site, but it is not considered a scholarly peer reviewed journal article.

The APA 7 style of writing is required. This includes (but is not limited to):

  • Proper grammar and composition, capitalization and sentence structure
  • APA 7 approved font (such as 12-point Times New Roman)
  • Double spaced paper with 1” margins
  • Paragraphs are to be left margin justified only
  • Paragraph indentions
  • Heading Levels (see APA 7, p. 47-48)
  • References that are formatted as per APA 7. See chapter 9 of the APA 7.

How to properly cite and reference the DSM-5. Points WILL BE DEDUCTED for not referencing the DSM-5 correctly. Here, is the correct way to reference it on the references page and as an in-text citation.  For electronic versions:

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th

ed.). https:doi.org/10.1176/appi.books.9780890425596

For printed version:

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th

ed.). American Psychiatric Association.

Basic in-text citation for the DSM-5:   (American Psychiatric Association, 2013).

Treatment Plan: What to include and how to format the treatment plan

Your Treatment plan should include the following categories:

  1. Title page
  2. Content of treatment plan (The title of your treatment plan should be on line 1 of page 2).
    1. Brief description of the patient (do not repeat the entire video – BRIEF)
    2. Brief explanation of the presenting psychological symptoms (delusional, jealous, moody, talkative, appears depressed, etc)
    3. Any known medical history, allergies, etc. (If none, state No known allergies, No known medical history). 
    4. Your psychiatric diagnosis (supported by the DSM-5 criteria). You can state something like, This patient met criterion 1, 2, 4, 5,A, C, D and 7 from the diagnostic criteria on page 163-164 of the DSM-5 for the diagnosis of ……………
    5. List 2- 3 of the differential diagnosis from the DSM-5, and briefly state why that was chosen as a differential diagnosis, and not as the main diagnosis. (See course materials on Differential Diagnosis) (supported by the DSM-5).
    6. Suicide and/or homicidal risk assessment (Include the 5 components of a suicide risk assessment, do you want to kill yourself, what is your plan, do you have access to that plan, what is your intention, and what is keeping you here (the mitigating factors) See Nursing Suicide Risk Assessment PPT/Kaltura Module 1. Points are deducted if the 5 components of a suicide risk assessment are not written out. 
    7. What psychiatric tools or scales you used to help support your diagnosis (include citations).
    8. Medications being ordered (include a citation)
      1. Include name of medication(s) and what the med is used for 
      2. Include the route, dosage, frequency 
      3. Include black box warnings or what the pt needs to know/foods to avoid, etc. 
    9. Non-pharmacological treatments that are being ordered (include citation that supports these). Different diagnoses respond better to different forms of therapy. Some respond to CBT, others to Behavioral Therapy, others to Family Therapy, etc. 
    10. Any labs or medical tests that need to be completed to rule out organic causes, for medication monitoring, and so forth (include citation). (include a short line stating why each lab/test is being ordered)
    11. Questions that you would ask to help further solidify your diagnosis (brief list)
    12. Any further directives/resources for the patient (this would include, follow up with primary doctor to monitor HTN or diabetes; directives to follow-up with other members of the comprehensive treatment team; safety plan if you are sending the pt home and they have suicidal or homicidal thoughts; return for medication assessment in x number of weeks, etc. This also includes support group and hotline phone numbers for things like SI and SUD).
  3. References Page – include all citations used in the paper, formatted per APA 7, double spaced and in alphabetical order. References are to include the DSM-5, the course textbook, a drug book of your choice (text or online that has a date), and 1 scholarly journal article reference within the last 5 years, for each of the videos or discussion board prompts being assessed.

Note:

                Direct quotations should be kept to a minimum and properly cited as per the APA 7. It is imperative that you synthesize the course information into your own words, using minimal direct quotations from scholarly journal articles to support your treatment plan. Academic integrity is essential as proper citations give credence and reliability to your treatment plan. If your TII score is over 35%, see what areas of your paper you can re-word to avoid a grade of zero.

 

 

DSM-5 & Differential Diagnosis

 

To effectively treat patients, a reliable diagnosis and treatment recommendation is essential. The DSM-5 provides a definition for each mental health disorder along with diagnostic criteria that must be met for each diagnosis. These diagnoses are designed to “help clinicians to determine prognosis, treatment plans, and potential treatment outcomes for their patients” (American Psychiatric Association, 2013, p. 20). Diagnoses are then made after performing a clinical interview with the patient, using DSM-5 descriptions, criteria, and using clinician judgment (American Psychiatric Association, 2013).

 

  1. All psychiatric disorders have a categorical place in the DSM -5. It includes the symptoms that must be present with specifiers that allow for a more specific diagnosis that help with the development of a treatment plan. (Example: Major depressive disorder with psychotic features).

 

  1. Most psychiatric disorders (and psychiatric emergencies) require a thorough suicide risk assessment. Include all 5 components of the suicide risk assessment we learned in Module 1 Nursing Suicide Risk Assessment PPR/Kaltura. (Desire, plan, access, intent, mitigating factors). If you don’t ask them, your professor can not assess if you know how to do a suicide risk assessment.

 

  1. Differential diagnoses: A reliable diagnosis is required to effectively treat the patient and to have positive treatment outcomes. The differentials provide for clinicians and alternate diagnosis that could be considered if it is proven that the patient does meet the criteria for the primary diagnosis that was chosen.

 

A clinician does not randomly come up with a differential diagnosis on their own. The DSM-5 provides for clinicians, differential diagnosis for each primary diagnosis. They are listed in the DSM-5 at the end of each diagnosis chapter. The differentials are listed in order of prevalence. For example, of all the patients diagnosed with Bipolar 1, if that diagnosis was proven not to be correct, most often the correct diagnosis is found to be first, major depressive disorder, then second most frequent is the 2nd differential listed, then the 3rd most frequent is the 3rd differential that is listed. So the differentials should be alternate diagnosis that you considered or wrestled with as you were determining the primary diagnosis for the patient.

 

For example, if you have a patient who appears with a mood disorder, you may be considering depressive disorder or bipolar 1 disorder. Upon examining the diagnostic criteria in the DSM-5 for bipolar 1 (page 123-131) you determine that bipolar 1 is the diagnosis that the patient meets the criteria for. You must then look to the differential diagnosis that are listed in the DSM-5 (for bipolar 1 the differentials are on page 131-132) and you choose 2 or 3 of them that your patient closely matches the criteria for. You then briefly explain why you chose bipolar 1, as opposed to the differential diagnosis of major depressive disorder (for example).

               

If you have questions, please reach out to your professor for your section. It is better to ask early and then know how to do it correctly for the 7 weeks then to struggle without asking. We are here for you!

 

 Please watch and assess the following video case study: https://learn.symptommedia.com/

username: NKUNursing

password: NKUNursing0615

 

Rubric: CriteriaRatingsPts

This criterion is linked to a Learning OutcomeLearning outcome evaluation

Learning Outcome Evaluation (Include each element):Include initial diagnosis with differentials using only what the clip provides. Also include additional questions that may need to be asked to help clarify diagnosis. List differentials for this case. List any symptoms to support diagnosis.List treatment suggestions you have for this patient which may include psychosocial, cultural, and/or developmental considerations.List medication suggestions.Include any types of therapy, groups, or other forms of coping resources that may be available for support.Include an active current suicidal ideation assessment and an indication to refer to inpatient hospitalization if necessary. Include labs Include screening scales

 

This criterion is linked to a Learning OutcomeAnalysis of Elements

(Analysis of Elements)Evaluate each video clip stating your initial diagnosis with differentials using only what the clip provides. For each differential state why each one should be considered for this case. List any symptoms that influenced your decision to use your diagnosis and why. Discuss treatment suggestions you have for this patient which may include psychosocial, cultural, and/or developmental considerations. Support what you recommend.Discuss any pharmalogical suggestions to discuss side effects vs benefits vs risks for any medications along with the dosage you would start with in the case. For other nonpharmalogical recommendations include any types of therapy, groups, or other forms of coping resources that may be available for support.Include an active current suicidal ideation assessment and an indication to refer to inpatient hospitalization if necessary. Include labs and why each one would be ordered for this patient.Include some screening scales that could be used in a patient with this diagnosis.

 

Some items were explained and expounded upon and others needed more information stated.

 

This criterion is linked to a Learning OutcomeAPA 7th edition format and 

 

References

APA 7th editionSpacing and formatting correct with title page and references included.References within 5 yearsUse of evidence based peer reviewed journal articles in addition to text books in references

 

The assignment was submitted in accordance with APA 7th guidelines and on time by the deadline. References were current and within 5 years and evidence based peer reviewed journal articles were included in addition to text books.

 

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