Assignent Solutionnurs

Please answer all questions and with detail information as requested on the instruction. Thank you
Case :
HISTORY OF PRESENT ILLNESS: _ This is a 58 years old morbidly obese African-American male admitted for depression and SI with plan to OD and jump into traffic. Patient with past medical history significant for mental illness, noncompliance with medication regimen, polysubstance abuse, who presented to the emergency room North Shore Medical Center complaining of feeling depressed, anxious, having suicidal ideations, upon arrival to emergency room vital signs within normal parameters, laboratories revealed normochromic normocytic anemia, acute kidney injury, urine was positive for cocaine and THC, patient was medically stabilized in the emergency room and admitted to inpatient psych unit for psychiatric evaluation, internal medicine was consulted to assist in medical management and hypertension, on my assessment today patient on not apparent distress, patient sleeping, calm, cooperative, patient denies chest pain, no shortness of breath, no dizziness, no abdominal pain nausea vomiting or diarrhea. PT IS ANXIOUS WITH PANIC ATTACKS, AGORAPHOBIA, DEPRESSED, WITHDRAWN, SUICIDAL AND UNABLE TO COPE WITH LIFE STRESSORS. Patient HAS POOR CONCENTARION ANDSHORT ATTENTION SPAN. PT HAS N POOR GROOMING AND POOR HYGIENE. PT NOT SLEEPING AND NOT EATING. Patient IS LOOSING WEIGHT. PT WILL BE ASSESSED, HAVE A FULL WORK UP, TREATED WITH MEDS AND PSYCHOTHERAPY, INDIVIDUAL, GROUP AND FAMILY. SW WILL HELP WITH PLACEMENT AND AFTER CARE UPON DC.
Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.
For this Assignment, you will document information about a patient that you examined in a group setting during the last 4 weeks, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient.
Medication list
aspirin 81 mg = 1 tab, Oral, Daily
benztropine 1 mg = 1 tab, Oral, BID
divalproex sodium 500 mg = 1 tab, Oral, BID
emtricitabine 200 mg = 1 cap, Oral, Daily
risperiDONE 3 mg = 1 tab, Oral, BID
traZODONE (traZODone) 150 mg = 1 tab, Oral, Q Bedtime
Allergies: acetaminophen, Fish
DX: Bipolar disorder, unspecified and Depression
To Prepare
Review this week’s Learning Resources and consider the insights they provide about clinical practice guidelines.
Select a group patient for whom you conducted psychotherapy for a mood disorder during the last 4 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide.
Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. 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: Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?
Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.