WEEK 9 PRAC 6635 Clinical Hour and Patient Logs Assignment 1

WEEK 9 PRAC 6635 Clinical Hour and Patient Logs Assignment 1

WEEK 9 PRAC 6635 Clinical Hour and Patient Logs Assignment 1

Week 9: Comprehensive Psychiatric Evaluation and Patient Case Presentation

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

Review your Learning Resources.
Days 1

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, documentation, assessment, and diagnostic reasoning skills. This week, you highlight these skills as you complete a comprehensive psychiatric evaluation and present a patient case in a video, just as you did in Week 5 and Week 7. You continue to track your clinical hours and patients in Meditrek.
Learning Objectives

Students will:

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

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Learning Resources

Required Readings (click to expand/reduce)

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

Chapter 31, Assessing Personality Disorders
Chapter 32, How to Educate Your Patient

H Soft 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). Sexual dysfunctions. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.).

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

American Psychiatric Association. (2022). Paraphilic 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 17, Human Sexuality and Sexual Dysfunction
Chapter 22, Personality Disorders

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

Assignment 1: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours. You may not complete your hours sooner than 8 weeks.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

Dates
Course
Clinical Faculty
Preceptor
Total Time (for the day)
Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

Date
Course
Clinical Faculty
Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Student Notes- Students must include a brief summary/synopsis of the patient visit this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.
Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation

Photo Credit: Pexels

For this Assignment, you will document information about a patient that you examined during the last 3 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient. Be sure to incorporate any feedback you received on your Week 3 and Week 6 case presentations into this final presentation for the course.

To Prepare

Review this week’s Learning Resources and consider the insights they provide. 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 3 weeks who presented with a disorder for which you have not already conducted an evaluation in Weeks 3 or 6. (For instance, if you selected a patient with OCD in Week 6, you must choose a patient with another type of disorder for this week.) 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.
Then, based on your evaluation of this patient, develop a video case presentation 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 patient’s 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 “Wk9Assgn2+last name+first initial.(extension)” as the name.
Click the Week 9 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the Week 9 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 “Wk9Assgn2+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 9 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 9 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To participate in this Assignment:

Week 9 Assignment 2

What’s Coming Up in Week 10?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will complete all recording of your clinical hours and patient encounters. Your Preceptor will also complete your Final Clinical Evaluation, and you will be required to complete your Student Feedback.

By Day 7 of Week 10, ensure that both you and your Preceptor have submitted the required online evaluations in the Meditrek system. Complete all fields in the log, and have your Preceptor verify your completed hours in Meditrek. If feedback is not received, you will receive an Incomplete (I) as a grade. There is nothing to submit in the classroom for this Assignment; all components are completed in Meditrek.

Next Week

To go to the next week:

Week 10

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