• Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.
• Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document. 
• By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.
• Identify at least three possible differential diagnoses for the patient. 

By Day 7 of Week 3

Complete and submit your Comprehensive Psychiatric Evaluation, 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 symptomology 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 priority 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.
• Reflection notes: What would you do differently with this client if you could conduct the session over? 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 taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Video: 

https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/depressive-disorders/cite?context=channel:diagnosing-mental-disorders-dsm-5-and-icd-10

video citation

Classroom Productions (Producer), & Harrigan, S. (Director). (2015). Depressive Disorders. [Video/DVD] Microtraining Associates. Retrieved from https://video.alexanderstreet.com/watch/depressive-disorders

Topic: Skin Integrity/ Wound Care 

-Paper must be APA format and at least 750 words not to exceed 1000 words.

 -Double spaced and use Times New Roman standard 12-point font.

 – A minimum of two (2) references must be used. The two references will include the required class textbook(Fundamentals Of Nursing 10th Edition) and at least one outside scholarly source (ex. journal article). APA format must be used citing and referencing sources.

 Textbook Info: Fundamentals of Nursing 10th Edition, Author: Potter Perry, Publisher: Elsevier- Health Sciences Division. 

The topic must be related to the specific given patient. The paper must be written in the 3rd person with the exception of reflection which has to be done in the 1st person. All descriptions analysis, interventions, etc, must be on skin integrity/ wound care topic. 

Simple question very quick

1. A 24-year-old Pakistani immigrant woman has given birth to a healthy boy. She expresses sadness that her family cannot be there to see him. The nurse is confused about why the mother is not happy.

• a.   What is the cultural context of her sadness?
• b. What can the nurse do to assist her?

2.A 55-year-old man is hospitalized for an opportunistic infection and asks for his partner to be with him overnight. He stated that previous hospitals did not allow his partner to visit and that is why he chose your hospital.

• a.   What are the ethical issues and what framework would you use to analyze the situation?
• b. Describe the research that may support the request.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

  

NURSING PICO QUESTION

1. Formulate a PICO question for your “Design A Research Study” assignment. Use the following formulated question as PICO question to create the Concept Map:

Which form of oxytocin administration during the third stage of labor is most effective in reducing the risk of postpartum hemorrhage?

1. Create a concept map for your PICO question, using the module resources on concept mapping. Using guidelines from the concept mapping topic of this module, create a new concept map based on your PICO question. See resources and guidelines attached below 
2. The first step is in concept mapping to create boxes with the four pieces of your PICO.
3. Then begin making connections between the population, intervention, comparison, and outcomes for your question. 
4. Expand your map by including additional levels of concepts, ideas, and search terms (synonyms) for each subtopic. 
5. You should have at least three levels of sub-concepts in addition to your main PICO concepts. This process will help you tremendously when you begin to search the databases for literature on your paper topic. 

PICO and Concept Map Assignment Grading Rubric: 

  

Possible Points

Points Given

Comments

 

PICO and Search   Query Worksheet attached and complete

5

 

Well-written   PICO of nursing relevance

5

  

PICO represented as main concept boxes on concept   map an Contains at   least 3 additional levels of concepts beyond the main boxes

5

 

Map Appears   thorough and neat

5

CASE STUDY

Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.