Focused SOAP Note

PLEASE MAKE SURE WRITER 1747 DO THIS ORDER. I DONT HAVE ROOM FOR ERROR ON PLIGIARISM. PLS MAKE UP ANY PATIENT WITH MOOD DISORDER POSSIBLY ADULT DEPRESSION OR ANY OTHER MOOD DISORDER. I ATTACHED A SOAP TEMPLATE THAT IS NEEDED FOR THE ASSINGMENT. I WILL DO THE VIDEO PRESENTATION WHEN YOU ARE DONE IN 2 DAYS. THANKS For this Assignment, you will document information about a patient that you examined during the last three weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient. Select a patient of any age (either a child or an adult) that you examined during the last 3 weeks. Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations. Please Note: All SOAP notes must be signed, and each page must be initialed by your Preceptor. Note: Electronic signatures are not accepted. When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of each page that is initialed and signed by your Preceptor. You must submit your SOAP note using SafeAssign. Note: If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy. Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record. Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning. Ensure that you have the appropriate lighting and equipment to record the presentation. Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide: 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 their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient's symptoms. Plan: What was your plan for psychotherapy? What was 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 be sure to include at least 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? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be. Learning Resources Required/Optional Readings/ (click to expand/reduce) Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer. Section II. The Psychiatric History (Chapters 14–18) Section III. Interviewing for Diagnosis: The Psychiatric Review of Symptoms (Chapters 23–24) Lorberg, B., Davico, C., Martsenkovskyi, D., & Vitiello, B. (2019). Principles in using psychotropic medication in children and adolescents. In J. M. Rey & A. Martin (Eds.), IACAPAP e-textbook of child and adolescent mental health (2019 ed., pp. 1–25). International Association for Child and Adolescent Psychiatry and Allied Professions. https://iacapap.org/content/uploads/A.7-Psychopharmacology-2019.1.pdf Document: Focused SOAP Note Template (Word document) Document: Focused SOAP Note Exemplar (Word document)

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PAPER DETAILS
Academic Level College
Subject Area Nursing
Paper Type  Case Study
Number of Pages 4 Page(s)/1100 words
Sources 3
Format APA
Spacing Double Spacing

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