Assignment 2: PRAC 6635 Week 8 Comprehensive Psychiatric Evaluation and Patient Case Presentation

Assignment 2: PRAC 6635 Week 8 Comprehensive Psychiatric Evaluation and Patient Case Presentation

Assignment 2: PRAC 6635 Week 8 Comprehensive Psychiatric Evaluation and Patient Case Presentation

Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation

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Week 7: Comprehensive Psychiatric Evaluation and Patient Case Presentation

What do I have to do? When do I have to do it?

Review your Learning Resources.
Days 1-7

Assignment 1: Clinical Hour and Patient Logs
Record your clinical hours and patient encounters in Meditrek.
Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation Submit by Day 7.

At your practicum site, you have been strengthening your communication, diagnostic, procedural, and treatment planning skills. This week, you highlight these skills as you present a complete case in a video, just as you did in Week 5. You also continue to track your clinical time and patients in Meditrek.

Your readings this week reinforce your knowledge about assessment and diagnosis of psychotic and medication-induced movement disorders. As you think about the patients in your clinical setting who may have a psychotic or medication-induced movement disorder, consider the strategies you would use to facilitate the treatment and management process while providing patient education and support.

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Learning Objectives

Students will:

Describe clinical hours and patient encounters
Assess patients across the lifespan in mental health settings
Formulate differential diagnoses for patients in mental health settings across the lifespan
Develop a case study presentation based on a clinical patient

Learning Resources

Required Readings (click to expand/reduce)

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

Chapter 27, “Assessing Psychotic Disorders”

HSoft Corporation. (2020). Meditrek: Home. https://edu.meditrek.com/Default.html

Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.

Document: Comprehensive Psychiatric Evaluation Template (Word document)

Document: Comprehensive Psychiatric Evaluation Exemplar (Word document)

Recommended:

American Psychiatric Association. (2022). Medication-induced movement disorders and other adverse effects of medication. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.).

American Psychiatric Association. (2022). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.).

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan and Sadock synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Wolters Kluwer.

Chapter 7, Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 29, Psychopharmacological Treatment
Section 29.2, Medication Induced-Movement Disorders
Chapter 31,Child Psychiatry
Section 31.15, Early-Onset Schizophrenia

Walden University. (2020). College of Nursing practicum manual: Master of science in nursing (MSN) and post-master’s certificate programs. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

Walden University Field Experience. (2020a). Field experience: College of Nursing. https://academicguides.waldenu.edu/fieldexperience/son/home

Walden University Field Experience. (2020b). Student practicum resources: NP student orientation. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

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Rubric Detail

Select Grid View or List View to change the rubric’s layout.
Content
Name: PRAC_6635_Week7_Assignment2_Rubric

Grid View
List View

Excellent Good Fair Poor
Photo ID display and professional attire
Points Range: 5 (5%) – 5 (5%)
Photo ID is displayed. The student is dressed professionally.

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)
Photo ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally.
Time
Points Range: 5 (5%) – 5 (5%)
The video does not exceed the 8-minute time limit.

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)
The video exceeds the 8-minute time limit. (Note: Information presented after the 8 minutes will not be evaluated for grade inclusion.)
Description of chief complaint and history of present illness
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete description of the chief complaint and history of present illness.

Points Range: 4 (4%) – 4 (4%)
The student provides an accurate description of the chief complaint and history of present illness.

Points Range: 2 (2%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete description of the chief complaint and history of present illness, or description is missing.

Points Range: 0 (0%) – 1 (1%)
The student provides a completely inaccurate, or incomplete description of the chief complaint and history of present illness, or the description is missing.
Description of past psychiatric, substance use, medical, social, and family history
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete description of past psychiatric, substance use, medical, social, and family history.

Points Range: 4 (4%) – 4 (4%)
The student provides an accurate description of past psychiatric, substance use, medical, social, and family history.

Points Range: 2 (2%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete description of psychiatric, substance use, medical, social, and family history, or description is missing.

Points Range: 0 (0%) – 1 (1%)
The student provides a completely inaccurate, or incomplete description of psychiatric, substance use, medical, social, and family history, or description is missing.
Discussion of most recent mental status exam and observations made during interview and review of systems
Points Range: 14 (14%) – 15 (15%)
The student provides an accurate, clear, and complete discussion of results from most recent mental status exam and observations made during interview and review of systems.

Points Range: 12 (12%) – 13 (13%)
The student provides an accurate discussion of results from most recent mental status exam and observations made during interview and review of systems.

Points Range: 11 (11%) – 11 (11%)
The student provides a vague, inaccurate, or incomplete discussion of results from most recent mental status exam and observations made during interview and review of systems.

Points Range: 0 (0%) – 10 (10%)
All or most of the discussion is inaccurate or missing.
Discussion of diagnostics with results
Points Range: 9 (9%) – 10 (10%)
The student provides an accurate, clear, and complete discussion of diagnostics with results.

Points Range: 8 (8%) – 8 (8%)
The student provides an accurate discussion of diagnostics with results.

Points Range: 7 (7%) – 7 (7%)
The student provides a vague, inaccurate, or incomplete discussion of diagnostics with results.

Points Range: 0 (0%) – 6 (6%)
All or most of the discussion is inaccurate or missing.
Diagnostic Impression with three (3) differential diagnoses

Reflection on this case
Points Range: 23 (23%) – 25 (25%)
The student provides an accurate, clear, and complete diagnostic impression with three (3) differentials.

Reflections are thorough, thoughtful, and demonstrate critical thinking.

Reflections contain all 3 elements from the assignment directions.

Points Range: 20 (20%) – 22 (22%)
The student provides an accurate diagnostic impression with three (3) differentials.

Reflections demonstrate critical thinking.

Reflections contain 2 of the elements from the assignment directions.

Points Range: 18 (18%) – 19 (19%)
The student provides a vague, inaccurate, less than 3, or incomplete diagnostic impression with differentials.

Reflections are somewhat general or do not demonstrate critical thinking.

Reflections contain 1 of the required elements from the assignment directions.

Points Range: 0 (0%) – 17 (17%)
All or most of the discussion is inaccurate or missing. No diagnostic impression and less than 2 differential diagnoses.

Reflections are incomplete, inaccurate, or missing.

There are no Reflections elements from the assignment directions.
Comprehensive Psychiatric Evaluation documentation
Points Range: 23 (23%) – 25 (25%)
The response clearly, accurately, and thoroughly follows the Comprehensive Psychiatric Evaluation format to document the selected patient case.

Points Range: 20 (20%) – 22 (22%)
The response accurately follows the Comprehensive Psychiatric Evaluation format to document the selected patient case.

Points Range: 18 (18%) – 19 (19%)
The response follows the Comprehensive Psychiatric Evaluation format to document the selected patient case, with some vagueness and inaccuracy.

Points Range: 0 (0%) – 17 (17%)
The response incompletely and inaccurately follows the Comprehensive Psychiatric Evaluation format to document the selected patient case.
Presentation style
Points Range: 5 (5%) – 5 (5%)
Presentation style is exceptionally clear, professional, and focused.

Points Range: 4 (4%) – 4 (4%)
Presentation style is clear, professional, and focused.

Points Range: 3 (3%) – 3 (3%)
Presentation style is mostly clear, professional, and focused

Points Range: 0 (0%) – 2 (2%)
Presentation style is unclear, unprofessional, and/or unfocused.
Total Points: 100
Name: PRAC_6635_Week7_Assignment2_Rubric

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Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive 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 during the last 2 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient.

To Prepare

Review this week’s Learning Resources and consider the insights they provide about assessment and diagnosis. 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 patient that you examined during the last 2 weeks who presented with a disorder other than the one present in your selected case for Week 5.
Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor. When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor. You must submit your document using SafeAssign.
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.
Develop a video case presentation, based on your evaluation of this patient, that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled out.
Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.
Ensure that you have the appropriate lighting and equipment to record the presentation.

Assignment

Record yourself presenting the complex case for your clinical patient.

Do not sit and read your written evaluation! The video portion of the assignment is a simulation to demonstrate your ability to succinctly and effectively present a complex case to a colleague for a case consultation. The written portion of this assignment is a simulation for you to demonstrate to the faculty your ability to document the complex case as you would in an electronic medical record. The written portion of the assignment will be used as a guide for faculty to review your video to determine if you are omitting pertinent information or including non-essential information during your case staffing consultation video.

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 patients name or any other identifying information).
Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.
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.

Be succinct in your presentation, and do not exceed 8 minutes. Address the following:

Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
Objective: What observations did you make during the interview and review of systems?
Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis and why?
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.

By Day 7

Submit your Video and Comprehensive Psychiatric Evaluation. You must submit two (2) files for the evaluation, including a Word document and scanned PDF/images of each page that is initialed and signed by your Preceptor.
Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “Wk7Assgn2+last name+first initial.(extension)” as the name.
Click the Week 7 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the Week 7 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “Wk7Assgn2+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To participate in this Assignment:

Week 7 Assignment 2

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