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treating mood disorders

To Prepare

  • Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood 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: Petunia Park. 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.
  • Consider patient diagnostics missing from the video: Provider Review outside of interview:
    Temp 98.2  Pulse  90 Respiration 18  B/P  138/88
    Laboratory Data Available: Urine drug and alcohol screen negative.  CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)

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 symptomatology 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, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 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: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.

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ethical considerations of treating AIDS patients, and describe the rationale for the dilemma

 Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

  1. List one of the ethical considerations of treating AIDS patients, and describe the rationale for the dilemma.
  2. List one of the Principles of Medical Ethics and provide a brief reason for that principle.
  3. Thoroughly discuss one of the dilemmas surrounding the restrictions on HIV-infected health care workers.
  4. List one of the Patient’s Rights, as found in the Patient’s Bill of Rights; and explain that right’s rationale and/or the impact on health care.
  5. Thoroughly explain the physician’s dilemma in the Duty, to Tell the Truth.
  6. Thoroughly explain the “Borrowed Servant Doctrine” and its importance to liability.
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Assessing and Treating Patients With Anxiety Disorders

Assignment: Assessing and Treating Patients With Anxiety Disorders

Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with anxiety disorders.

To prepare for this Assignment:

· Review this week’s Learning Resources, including the Medication Resources indicated for this week.

· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring anxiolytic therapy.

The Assignment: 5 pages

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note:  Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

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Drugs Used in Treating Infectious Disease

Chapter 24 Drugs Used in Treating Infectious Disease

Nick is a 16 year old who presents to the clinic with a sore throat, enlarged cervical lymph nodes, and a fever of 102°F. His rapid strep test is positive.

  1. What is the plan of care for Nick’s strep throat?

2. What education do Nick and his parents need?


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Treatment Plan for Nick, 16-Year Old with Sore Throat

Name of Student

University Affiliation

Treatment Plan for Nick, 16-Year Old with Sore Throat

            Acute pharyngitis is one of the leading causes of hospital visits in the United States. According to Luo et al. (2019) the most common cause of acute pharyngitis is Streptococcus pyogenes, estimated to cause about 5-10% of sore throat infections in adults and 20-30% of sore throat infections among the children.  The authors assert that though the infection can heal on their own, over 60% of the cases are treated with antibiotics so as to prevent some complications. Sore throat is diagnosed through rapid antigen detection test (RADT).

            The diagnosis for Nick turned out positive for sore throat, which should be treated with antibiotic. The available antibiotics for treatment for sore throat are penicillin and amoxillin. The dosage are Penicillin 500 mg PO bid × 10 days  or Amoxicillin 1,000 mg PO daily × 10 days. The prescription should be discussed with the patient in order to determine if there are any reactions towards the specific type of antibiotic. The medication is readily available and is not expensive, making it affordable for the patient. Sore throat can be uncomfortable and a lack of effective treatment may lead to other complications such acute rheumatic fever, post-streptococcal glomerulonephritis, and rheumatic heart disease (Luo et al., 2019). The parent of Nick should be advised on these dangers of sore throat and recommended to follow the dosage directions to ensure effective treatment. In addition, Nick will be contagious within the first 24 hours upon antibiotic treatment. Any symptoms of rush and hypersensitivity upon the start of antibiotic…………………………………………………………………………………………………

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Treating Childhood Abuse

Discussion: Treating Childhood Abuse

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

Learning Objectives

Students will:

· Recommend strategies for assessing for abuse

· Analyze influences of media and social media on mental health

· Evaluate the need for mandatory reporting of abuse

To Prepare for this Discussion:

· Read the Learning Resources concerning treating childhood abuse.

Read the Child Abuse Case Study in the Learning Resources. Visit ( https://class.content.laureate.net/c2d25a50e4f76a67640daef9661a07f1.pdf

· Use subheadings please when writing please.

Post:

· What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

· How might exposure to the media and/or social media affect the patient?

· What type of mandatory reporting (if any) is required in this case? Why?