Categories
Psychiatry

Brian was referred to your clinic for suspected intellectual disability.

You are a psychiatric/mental health nurse practitioner employed in a local community health center. You are seeing “Brian,” a 4-year-old male patient accompanied by his parents. Brian was referred to your clinic for suspected intellectual disability.
In this discussion, prepare a posting in which you discuss the approach to assessment (including others that would be involved in the assessment), how you would ultimately diagnose the client based on assessment findings, and the approach to treatment, integrating both psychotherapy and psychopharmacologic approaches. Your response should integrate appropriate ethical and legal principles specific to the care of this client.

Categories
Psychiatry

Lab/diagnostic template in appendix a below.

PART TWO OF THE COMPREHENSIVE CASE STUDY
Diagnoses
Differentials: Three differential diagnoses including pertinent patient presentation/symptoms that should be considered and must be plausible to match the patient presentation. The student should write in detail WHY they thought the patient met this criterion using the previous information presented in part one and how the diagnosis was ruled out. The final diagnosis should NOT be included in the differential.
DSM-5 Final Diagnosis with ICD-10 Code: What is the rationale for the diagnosis? The student should write in detail the rationale that describes the specific symptomatology that qualifies the clinical presentation to be identified as the DSM-5 diagnosis, including diagnostic specifiers.
Formulating the Treatment Strategy
EBP: Review an Evidence-Based Practice article referring to this patient with this particular diagnosis, treatment, or medication (summarize the study, include a rating of the article, (citation for the rating scale & put the article and rating scale in your references), instruments utilized, relevant findings.
Measurement of patient progress and Assessment Tools: List 2-3 measures that could be utilized for this patient in the future to measure their progress. Include the name of the test, information about reliability & validity, score ranges, meaning of high vs low scores, how often the instrument should be administered, and patient score is assessed during evaluation. Mnemonic devices, such as “SIGECAPS” are not published/validated tests.
Psychopharmacology: Medication with dose-instructions listed, pharmacodynamics, and pharmacokinetics. A detailed explanation is provided for the choice of this medication over other medications in the same category.
Diagnostic tests: Diagnostic tests that are specific to the case are described with the rationale. Lab/Diagnostic template in Appendix A below. List each test separately and provide the rationale (CBC is separated by each test – hemoglobin, hematocrit, etc and what abnormals could mean and the possible connection to a psychiatric diagnosis if applicable.
Psychotherapy: List 2 or more theoretical orientations which could be used in the treatment of this patient and give 3-4 sentences describing each theoretical orientation and why the treatment could be beneficial. Such options could include Interpersonal, psychodynamic, EMDR, Rogerian, CBT, Jungian, etc. Use references other than Sadler or Wheeler.
Psychoeducation: Pertinent information regarding aftercare, legal issues, health promotion such as diet, medical, psychological testing, medications, diagnosis, black box warnings, and educational websites
Follow-up: Instructions to the patient for follow-up visits, emergency access, or diagnostics. Include safety measures if indicated.
References: APA format and writing

Categories
Psychiatry

You are a psychiatric/mental health nurse practitioner employed in a local community health center.

You are a psychiatric/mental health nurse practitioner employed in a local community health center. You are seeing “Brian,” a 4-year-old male patient accompanied by his parents. Brian was referred to your clinic for suspected intellectual disability.
In this discussion, prepare a posting in which you discuss the approach to assessment (including others that would be involved in the assessment), how you would ultimately diagnose the client based on assessment findings, and the approach to treatment, integrating both psychotherapy and psychopharmacologic approaches. Your response should integrate appropriate ethical and legal principles specific to the care of this client.
Three sources required, two of which must be peer reviewed articles within the past five years.

Categories
Psychiatry

Research in recent years has emerged to support early diagnosis of psychotic dis

Research in recent years has emerged to support early diagnosis of psychotic disorders in young children and adolescents. Discuss how a definitive diagnosis can be made in young children, adolescence, and considerations in treatment. Support your statements with a minimum of two scholarly articles.
All articles must have DOI numbers.
The DSM five must be sources used +2 additional scholarly sources.
Proper English, grammar, and spelling is required. APA seventh edition format is required.

Categories
Psychiatry

Indicate here which of the pre-approved cases [attached below] will be used for

Indicate here which of the pre-approved cases [attached below] will be used for the Case Study Analysis and briefly explain the rationale for its choice.
I
In addition, a Summary Paragraph, including a cover page following APA formatting requirements, must be submitted by Sunday, Week 1. This paragraph should describe a specific topic of interest from from the scholarly literature relevant and applicable to the chosen case and include a thesis.

Categories
Psychiatry

****USE EACH OF THE HEADINGS BELOW TO KEEP THE PAPER ORGANIZED SO NO INFORMATION

****USE EACH OF THE HEADINGS BELOW TO KEEP THE PAPER ORGANIZED SO NO INFORMATION IS MISSED. ALMOST EVERY SUBHEADING (except the CC) SHOULD CONTAIN AT LEAST A MINIMUM OF ONE PARAGRAPH DETAILING EACH ITEM. SOME AREAS MAY REQUIRE MORE THAN ONE PARAGRAPH.****
Please See The ATTACHED RIUBRIC

Categories
Psychiatry

To Prepare Review of this week’s Learning Resources on coding, billing, and reim

To Prepare
Review of this week’s Learning Resources on coding, billing, and reimbursement.
Review the E/M patient case scenario provided.
The Assignment
Assign DSM-5-TR and ICD-10 codes to services based upon the patient case scenario.
Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.
Explain what pertinent information, generally, is required in documentation to support DSM-5-TR and ICD-10 coding.
Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.
Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

Categories
Psychiatry

The purpose of this reflective journal is self-reflection regarding the role in

The purpose of this reflective journal is self-reflection regarding the role in the process of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else.
The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP. 
Address the following items:
** Teamwork in nursing has these characteristics: good communication, respect for one another, shared planning, common goals, cooperation, coordination, sharing of expertise, and shared decision-making.
** Discuss a clinical experience where you were part of the interdisciplinary team.
** List the members of the interdisciplinary team of which you were a participant.
**What was the patient case about and why was the collaboration necessary? (Psychiatric patient)
**Why is team collaboration important in care of a patient?
What did you learn from this encounter?

Categories
Psychiatry

You are working in a community health center as a Nurse Practitioner . Although

You are working in a community health center as a Nurse Practitioner . Although you see children for mental health, you will also see children for some basic “bridge” care until primary care providers have openings. If the medical issue is complex then the clinic coordinator will escalate the referral for quicker appointment scheduling.
Presentation Ellie, who is 6-years old, has come to the clinic with a suspected ear infection and as referral for her daughter’s behaviors. Ellie’s mother says that her daughter has been rocking rhythmically and clutching her ear at the same time. There has been some moisture on her pillow in the morning and Ellie is reluctant to let her mother investigate what is wrong.
Ellie is attempting to rock while she is seated on her mother’s knee and uses the same repetitive vocalization, “Don’t wanna go to the shops” over and over again.
She has a history of speech delay but can now complete many full sentences. She has also had some behavior and attention issues in school. She disrupts the teacher often and then gets up from her seat during focus time to go to play centers. She is not easily redirected and becomes argumentative.
She feels hot to touch and will not let healthcare practitioners approach her with any equipment. Her vocalization becomes louder and more insistent when you attempt examination.
Recognizing possible autism as well as some ADHD diagnosis criteria discuss next steps in the answers to the questions.
Write a 2-3 page paper answering the following questions. Be sure to include a minimum of two scholarly articles to support your discussion.
Discuss autism and ADHD diagnostic criteria.
How should you approach examining Ellie as a child, and strive to gain her trust?
You suspect that autism may be a possibility. What should you do to ensure that your suspicions are correct and how should you go about referring Ellie to the local autism team?
Ellie is showing signs and symptoms that may overlap between autism and ADHD. How do you differentiate autism from ADHD based on diagnostic criteria?
The DSM -5 must be used as a reference
All references must be scholarly and include Doi Numbers
Proper English grammar and spelling is required.
APA 7th edition format is required

Categories
Psychiatry

You are working in a community health center as a Nurse Practitioner . Although

You are working in a community health center as a Nurse Practitioner . Although you see children for mental health, you will also see children for some basic “bridge” care until primary care providers have openings. If the medical issue is complex then the clinic coordinator will escalate the referral for quicker appointment scheduling.
Presentation Ellie, who is 6-years old, has come to the clinic with a suspected ear infection and as referral for her daughter’s behaviors. Ellie’s mother says that her daughter has been rocking rhythmically and clutching her ear at the same time. There has been some moisture on her pillow in the morning and Ellie is reluctant to let her mother investigate what is wrong.
Ellie is attempting to rock while she is seated on her mother’s knee and uses the same repetitive vocalization, “Don’t wanna go to the shops” over and over again.
She has a history of speech delay but can now complete many full sentences. She has also had some behavior and attention issues in school. She disrupts the teacher often and then gets up from her seat during focus time to go to play centers. She is not easily redirected and becomes argumentative.
She feels hot to touch and will not let healthcare practitioners approach her with any equipment. Her vocalization becomes louder and more insistent when you attempt examination.
Recognizing possible autism as well as some ADHD diagnosis criteria discuss next steps in the answers to the questions.
Write a 2-3 page paper answering the following questions. Be sure to include a minimum of two scholarly articles to support your discussion.
Discuss autism and ADHD diagnostic criteria.
How should you approach examining Ellie as a child, and strive to gain her trust?
You suspect that autism may be a possibility. What should you do to ensure that your suspicions are correct and how should you go about referring Ellie to the local autism team?
Ellie is showing signs and symptoms that may overlap between autism and ADHD. How do you differentiate autism from ADHD based on diagnostic criteria?
The DSM -5 must be used as a reference
All references must be scholarly and include Doi Numbers
Proper English grammar and spelling is required.
APA 7th edition format is required