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 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: What would you do differently with this  client if you could conduct the session again? Discuss what your next  intervention would be if you were able to follow up with this  patient. Also include in your reflection a discussion related to  legal/ethical considerations (demonstrate critical thinking beyond  confidentiality and consent for treatment!), 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.)

Many APNs become independent contractors for health care groups that provide services to patients. Discuss the elements that are important to you when seeking a place of employment. What is negotiable and what is non-negotiable? Discuss the two benefits of formal employment as an APN.

Due 3/31

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

I had started the discharge project on CVA stroke but it is not completed. Please complete it using the rubric and instruction. There is also a sample project from last year about diverticulitis. Please use the attached text books to assist. the patient is fictional. this is a final project and worth 20%. 

Thank you for your help. 

 Instructions: Read the following case study and answer the reflective questions. Please provide  rationales for your answers. Make sure to provide citations/references for your answers in APA  format.  Deadline: Due by Sunday at 23:59 p.m.  

CASE STUDY: Caregiver Role Strain: Ms. Sandra A.

  Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years  ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy,  lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin  (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then  moved back to her hometown near her family and underwent three more rounds of second line chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships,  and became more involved with her two sisters and their families. Sandra developed several complications, including metastasis to the lungs. Then she could no  longer work, drive, or care for herself. She had been told by her oncologist that there was  nothing else that could be done and that she should consider entering a hospice. She met her  attorney and prepared an advance directive and completed her will. She decided to have  hospice care at home and, with the help of her family, set up her first floor as a living and  sleeping area. She was cared for by family members around the clock for approximately 3 days. Sandra observed that she was tiring everyone out so much that they could not really enjoy each  other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek  assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA  nurse prioritized her problems to include fatigue and caregiver role strain. Other potential  problem areas that may need to be incorporated into the care plan include anticipatory grieving  and impaired comfort.

 Reflective Questions 

1. What are some of the stresses on Sandra’s middle-aged sisters and their families? 2. What resources are available to manage these stresses and support the sisters while  caring for their dying sister Sandra? 3. Describe Sandra’s feelings about dependency and loss of autonomy because she is  unable to do her own activities of daily living any longer

Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting.

My state is FL