WK4 NRNP6635 Task: Assessing and Diagnosing Sufferers With Anxiousness Issues, PTSD, and OCD
“Worry,” in accordance with the DSM-5, “is the emotional response to actual or perceived imminent menace, whereas anxiousness is anticipation of future menace” (Ace homework tutors – APA, 2013). All anxiousness problems include a point of worry or anxiousness signs (usually together with avoidant behaviors), though their causes and severity differ. Trauma-related problems can also, however not essentially, include worry and anxiousness signs, however their main distinguishing criterion is publicity to a traumatic occasion. Trauma can happen at any level in life. It may not shock you to find that traumatic occasions are more likely to have a larger impact on kids than on adults. Early-life traumatic experiences, resembling childhood sexual abuse, could affect the physiology of the creating mind. Later in life, there’s a continual hyperarousal of the stress response, making the person weak to additional stress and stress-related illness.
For this Task, you observe assessing and diagnosing sufferers with anxiousness problems, PTSD, and OCD. Overview the DSM-5 standards for the problems inside these classifications earlier than you get began, as you can be requested to justify your differential prognosis with DSM-5 standards.
To Put together:
· Overview this week’s Studying Assets and take into account the insights they supply about assessing and diagnosing anxiousness, obsessive-compulsive, and trauma- and stressor-related problems.
· Obtain the Complete Psychiatric Analysis Template, which you’ll use to finish this Task. Additionally evaluation the Complete Psychiatric Analysis Exemplar to see an instance of a accomplished analysis doc.
· By Day 1 of this week, choose a particular video case research to make use of for this Task from the Video Case Alternatives selections within the Studying Assets. View your assigned video case and evaluation the extra information for the case within the “Case Historical past Studies” doc, retaining the necessities of the analysis template in thoughts.
· Think about what historical past could be essential to gather from this affected person.
· Think about what interview questions you would wish to ask this affected person.
· Determine a minimum of three doable differential diagnoses for the affected person.
Full and submit your Complete Psychiatric Analysis, together with your differential prognosis and critical-thinking course of to formulate main prognosis.
Incorporate the next into your responses within the template:
· Subjective: What particulars did the affected person present relating to their chief criticism and symptomology to derive your differential prognosis? What’s the length and severity of their signs? How are their signs impacting their functioning in life?
· Goal: What observations did you make throughout the psychiatric evaluation?
· Evaluation: Talk about the affected person’s psychological standing examination outcomes. What have been your differential diagnoses? Present a minimal of three doable diagnoses with supporting proof, listed so as from highest precedence to lowest precedence. Examine the DSM-5 diagnostic standards for every differential prognosis and clarify what DSM-5 standards guidelines out the differential prognosis to seek out an correct prognosis. Clarify the critical-thinking course of that led you to the first prognosis you chose. Embrace pertinent positives and pertinent negatives for the precise affected person case.
· Reflection notes: What would you do otherwise with this consumer in case you might conduct the session over? Additionally embrace in your reflection a dialogue associated to authorized/moral issues (show essential pondering past confidentiality and consent for therapy!), well being promotion and illness prevention making an allowance for affected person components (resembling age, ethnic group, and many others.), PMH, and different danger components (e.g., socioeconomic, cultural background, and many others.).
Week four: Anxiousness Issues, PTSD, and OCD Coaching
Title 15 Identify: Mr. David Jackson Gender: male Age:19 years outdated T- 98.eight P- 89 R 18 110/62 Ht 5’7 Wt 133lbs Background: Lives in Minneapolis, MN with each of his dad and mom, solely little one. Works half time at Starbucks. Not at present partnered. No earlier psychiatric historical past. Signs started within the final 1.5 months when he found he’s being activated with the Navy Reserves. His MOS is SK1 Storekeeper; no medical sicknesses Allergic reactions: NKDA; sleeps 6.5 hrs; urge for food good Symptom Media. (Producer). (2017).
Coaching title 15 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-15 Coaching
Title 21
Identify: Sergeant Patrick Flanrey Gender: male Age:27 years outdated T- 97.four P- 84 R 18 B/P134/88 Ht 5’eight Wt 167lbs Background: He entered the army simply after highschool and did three lengthy excursions of obligation in warzones. He separated from energetic obligation within the Marines (MOS 0800 Area Artillery) lower than a yr in the past after eight years of service. He’s engaged to be married (no date set) and is at present working as a furnishings salesman. He stated he grew up poor and wouldn’t do a lot else if he didn’t go into the army. He denies ever utilizing any medicine and avoids alcohol as a result of his father was “sloppy drunk.” Father continues to be alive, unwell (DM, liver illness, HTN), nonetheless ingesting. Paternal grandfather was additionally a veteran and suffered melancholy at instances although he by no means advised anybody besides the affected person due to their fight connection. Mom is alive and effectively, nonetheless “caring for dad.” He has one youthful and one older sister. He lives in a distinct state, roughly 5 hours from his dad and mom and siblings. After the army, he and his fiancé moved as a result of she bought a a lot better alternative. They need children sometime and hope to marry in a yr or two. Has service-connected bronchial asthma, seasonal allergy symptoms; no hx of psychiatric or substance use therapy. Symptom Media. (Producer). (2016: 2024 – Do my homework – Help write my assignment online).
Coaching title 21 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-21
Coaching Title 37
Identify: Mr. Tony Patelli Gender: male Age:18 years outdated T- 98.eight P- 94 R 20 126/88 Ht 5’four Wt 131lbs Background: Lives alone in New York, raised by dad and mom in New Jersey, solely little one. He’s a fulltime scholar at local people school for graphic design. Has a girlfriend from highschool. No earlier psychiatric historical past. No medical sicknesses; no historical past of psychiatric therapy; denied medicine or alcohol; Allergic reactions: NKDA; sleeps 7.5 hrs; urge for food eats three meals/day, likes to maintain a routine schedule. Symptom Media (Producer). (2016: 2024 – Do my homework – Help write my assignment online).
Coaching title 37 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-37 Coaching
Title 40
Identify: Ms. Barbara Weidre Gender: feminine Age: 56 years outdated T- 99.zero P- 99 R 24 132/89 Ht 5’four Wt 168lbs Background: Lives along with her husband in Knoxville, TN, has one daughter age 23. She has by no means labored. Raised by mom, she by no means knew her father. Mom with hx of tension; no substance hx for affected person or household. No earlier psychiatric therapy. Has one glass purple wine with dinner. Sleeps 10-12 hrs; urge for food decreased. Has overactive bladder, untreated. Allergic to Phenergan; complains of complications, takes prn ibuprofen, has diarrhea as soon as weekly, takes OTC Imodium. Symptom Media. (Producer). (2016: 2024 – Do my homework – Help write my assignment online).
Coaching title 40 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-40
Coaching Title 55
Identify: Matilda Johnson Gender: feminine Age: 9years outdated She refused vitals, ht and wt Vaccinations are updated; heading in the right direction with developmental milestones. Urge for food, she is a choosy eater per mother. NKDA Symptom Media. (Producer). (2017).
Coaching title 55 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-55
Coaching Title 85
Identify: Mrs. Carol Holliman Gender: feminine Age: 42 years outdated T- 98.zero P- 77 R 18 132/72 Ht 5’zero Wt 127lbs Background: Born and raised in Northern Eire, dad and mom introduced her and her 5 sisters to U.S. when she was 15 to go to U.S. college the place she met her husband. They dwell in Charleston, SC. She obtained her bachelor’s diploma in training; no historical past of psychological well being or substance use therapy, no household historical past. Her husband reported a latest college capturing close by three weeks in the past “flipped a change” in her. She is watching the information 24/7, barely sleeping, and even when she does, it’s just a few hours, Urge for food is decreased. Hx of hysterectomy, NKDA, no authorized hx. Symptom Media. (Producer). (2017).
Coaching title 85 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-85
Coaching Title 95
Identify: Ms. Zahara Williams Gender: feminine Age: 23 years outdated T- 97.5 P- 86 R 18 112/64 Ht 5’2 Wt 130lbs Background: Born and raised in Jacksonville, FL along with her mom and a couple of older brothers; her mom has hx of tension, brothers hx of hashish; no earlier psychological well being therapy, no drugs; NKDA; no authorized hx; sleeping 7 hrs; Urge for food is nice. She has an affiliate of arts diploma and works for Amazon warehouse. She has DX of diabetes since age 5. She recollects having nice problem along with her medical situation (uncontrolled blood sugar, preventing with mom over needle sticks, “children need sweet, and I used to be so totally different due to my food plan”). She recollects having a troublesome relationship along with her mom who was a nurse and actually labored laborious to regulate her daughter’s diabetes. She shouldn’t be in a relationship, identifies as lesbian however has not come out to the household. Solely her closest co-workers know she is homosexual, and he or she doesn’t plan to return out within the close to future. She acknowledged, “I don’t see why I’d, they wouldn’t perceive, and this isn’t vital proper now.” Symptom Media. (Producer). (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online).
Coaching title 95 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-95
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NRNP/PRAC 6635 Complete Psychiatric Analysis Template
Week (enter week #): (Enter task title)
Scholar Identify
Faculty of Nursing-PMHNP, Walden College
NRNP 6635: Psychopathology and Diagnostic Reasoning
School Identify
Task Due Date
Subjective:
CC (chief criticism):
HPI:
Previous Psychiatric Historical past:
· Common Assertion:
· Caregivers (if relevant):
· Hospitalizations:
· Treatment trials:
· Psychotherapy or Earlier Psychiatric Prognosis:
Substance Present Use and Historical past:
Household Psychiatric/Substance Use Historical past:
Psychosocial Historical past:
Medical Historical past:
· Present Drugs:
· Allergic reactions:
· Reproductive Hx:
ROS:
· GENERAL:
· HEENT:
· SKIN:
· CARDIOVASCULAR:
· RESPIRATORY:
· GASTROINTESTINAL:
· GENITOURINARY:
· NEUROLOGICAL:
· MUSCULOSKELETAL:
· HEMATOLOGIC:
· LYMPHATICS:
· ENDOCRINOLOGIC:
Goal:
Bodily examination: if relevant
Diagnostic outcomes:
Evaluation:
Psychological Standing Examination:
Differential Diagnoses:
Reflections:
References
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WK4 NRNP6635 Task: Assessing and Diagnosing PTSD and OCD
Fear is an emotional response to an precise or imagined imminent menace, whereas worry is an anticipation of future menace (Ace homework tutors – APA, 2013). Worry or anxiousness signs (typically mixed with avoidant actions) are current in all anxiousness problems, albeit the explanations and severity differ. Worry and anxiousness signs are frequent in trauma-related problems, however they aren’t the principle distinguishing issue. Trauma can strike at any time. It isn’t shocking that children are extra inclined to trauma than adults. Childhood traumas, resembling sexual abuse, can have an effect on the rising mind’s physiology. Persistent hyperarousal of the stress response later in life makes the particular person vulnerable to extra stress and stress-related problems.
Follow assessing and diagnosing individuals with PTSD, OCD, and anxiousness problems. You may be requested to justify your differential prognosis utilizing DSM-5 standards.
Prep:
Overview this week’s Studying Assets and take into consideration methods to assess and diagnose anxiousness, OCD, and trauma and stressor-related ailments.
Obtain the Complete Psychiatric Analysis Template. Look at the Complete Psychiatric Analysis Exemplar for a accomplished analysis doc.
Select a video case research from the Video Case Alternatives within the Studying Assets by Monday. Look at the given video case and the “Case Historical past Studies” doc for extra case information, retaining in thoughts the analysis template’s necessities.
Think about the affected person’s historical past assortment wants.
Think about the interview questions you’d must ask.
Determine three differential prognosis for the affected person.
