PLEASE USE APA STYLE REFERENCES AND NO LONGER THEN 5 YEARS AGO. IN ORDER TO ANSWER THE QUESTIONS BELOW THE COMPLETE CASE STUDI HAS TO BE READ. I ATTACHED THE CASE STUDI TO THIS POST. You are required to answer all the DISCUSSION QUESTIONS listed below in each domain.

DOMAIN: HISTORY 1a) Identify two (2) additional questions that were not asked in the case studi and should have been? 1b) Explain your rationale for asking these two additional questions. 1c) Describe what the two (2) additional questions might reveal about the patient’s health.

DOMAIN: PHYSICAL EXAMm For each system examin in this case; 2a) Explain the reason the provider examin each system. 2b) Describe how the examm findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient’s age, describe what examm findings could be abnormal. 2c) Describe the normal findings for each system. 2d) Identify the various diagnostic instruments you would need to use to examin this patient.

DOMAIN: ASSESSMENT (Medical Diagnosis) Discuss the pathophysiology of the: 3a) Diagnosis and, 3b) Each Differential Diagnosis 3c) If it is a Wellness, type ‘Not Applicable’

DOMAIN: LABORATORY & DIAGNOSTIC TESTS Discuss the following: 4a) What labs should be ordered in the case? 4b) Discuss what lab results would be abnormal. 4c) Discuss what the abnormal lab values indicate. 4d) Discuss what diagnostic procedures you might want to order based on the medical diagnosis. 4e) If this is a wellness visit, discuss what the U.S. Preventive Taskforce recommends for patients in this age group. 

 

• Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
• Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.

The Assignment

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.).

 

Discussion #1

For this week’s discussion, do the following; 

1. Choose one of the posted articles and read thoroughly.

2. Post the reference citation for the article, using APA style.

3.  Identify the theoretical framework used in the article you chose (post  the name of the theory and its author). Provide a brief description of  the theory.

4. Discuss whether the theoretical framework is consistent with a nursing perspective.

5. Discuss whether the theoretical framework is appropriate to guide the research.

6. Describe how the authors linked the findings of the study to the theoretical framework.

Cosmic Question – Post your cosmic question related to theoretical frameworks – provide a substantial response to at least 2 of your peers’ cosmic questions.

  Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  

1. Ethical considerations in health care and Practices of culturally sensitive care.

Using 250-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.