NRNP 6675 Week3 Assignment Dev Cordoba

In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches. NRNP 6675 Week3 Assignment Dev Cordoba

In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches.

To Prepare

Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders.

• 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: Dev Cordoba. 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 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-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR 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 patient if you could conduct the session again? Discuss what your next intervention would be if you could 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, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
• Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

Solution: NRNP 6675 Week3 Assignment Dev Cordoba

CC (chief complaint): Dev’s mother states, “He just seems so anxious and worried all the time, silly things like I’m going to die, or I won’t pick him up from school.” She also reports that “He has a difficult time going to sleep,” “claims stomach aches, and headaches almost daily,” “won’t eat,” and “still wets the bed at night.” (Walden University, 2021)

HPI: Dev is a 7-year-old boy who has been brought by his mother who is concerned about the increasing cases of anxiety and the behavioral changes Dev. The mother has reported that Dev has had an experience of significant worrying and anxiousness, especially about her safety. Mrs. Cordoba as well indicates that Dev seems to be anxious and worried at all times and states that he feels that the mother is going to die or will not pick him up from school. She as well points out that the anxiousness of Dev is manifested in different ways including physical complaints such as having frequent headaches and stomachaches. This has resulted in several instances of requesting to leave school.

The mother as well has noted that Dev has had an experience of loss of appetite and there are cases of loss of weight of up to three pounds in the last three weeks. The primary location of the distress appears to be focused on his emotional and psychological state. Dev has expressed having persistent worries about being separated from his mother and his well-being. He also records that there are frequent issues with nightmares of being lost and being unable to find his mother or brother which has contributed to the increasing cases of anxiety.

The dreams occur almost every night, though there are occasional nights when he does not have them. The mother has noted that Dev has a challenge falling asleep calling for the light to be left on and the door to be left open and he has had frequent cases of waking up at night… (Get full solution for only $10)

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