For this Assignment, you will document information about a
patient that you examined during the last weeks, using the Comprehensive
Psychiatric Evaluation Template provided.
Conduct a Comprehensive Psychiatric Evaluation on this
patient using the template provided in the Learning Resources. There is also a
completed exemplar document in the Learning Resources so that you can see an
example of the types of information a completed evaluation document should
contain.
Include at least five (5) scholarly resources to support
your assessment and diagnostic reasoning.
Subjective: What
details did the patient provide regarding their personal and medical
history? What are their symptoms of concern? How long have they been
experiencing them, and what is the severity? How are their symptoms
impacting their functioning?
Objective: What
observations did you make during the interview and review of
systems?
Assessment: What
were your differential diagnoses? Provide a minimum of three (3) possible
diagnoses. List them from highest to lowest priority. What was your
primary diagnosis, and why?
Reflection notes: What
would you do differently in a similar patient evaluation? Reflect on one
social determinant of health according to the HealthyPeople 2030 (you will
need to research) as applied to this case in the realm of psychiatry
and mental health. As a future advanced provider, what are
one health promotion activity and one patient education consideration
for this patient for improving health disparities and inequities in
the realm of psychiatry and mental health? Demonstrate your critical
thinking.
1-This is my patient you should fill out a
Comprehensive Psychiatric Evaluation Template
2- I sent you a Comprehensive Psychiatric Evaluation
Template and 1 Comprehensive Psychiatric Evaluation example
This is my patient
live in Miami florida
Student
Notes
CC (chief complaint): “I’m seeing weird things”
HPI: a
45-year-old Latina woman who has come to the clinic due to she has seen weird things she mentioned that
she has seen weird things, such as
seeing spiders on the walls. Additionally, she is afraid that the spiders
will bite her. In response, the patient avoids leaving the house, using the
phone, and watching TV programs. As a result, she was unable to maintain a
job during this time and reports that she is arguing with her husband. The
patient reported that he experienced those symptoms for three months. She was
diagnosed with anxiety at the age of 30 and prescribed buspirone 10 mg twice
a day. she did not like taking any oral medications, so her care provider
respected her opinion and conducted psychotherapy sessions with her. she
reported she drink 6 beers daily and she smokes 10 cigarettes daily. she
reported feeling sad after losing her job and disturbance in her relationship
with her husband. she also reported difficulty sleeping, feeling weak,
fatigued, and nightmares she denied and thoughts of committing suicidewas
scheduled for next week. A patient will be continuing outpatient
psychotherapy.
Diagnosed :
Diagnoses: Schizophrenia (F20.9):
Differential Diagnoses:
Schizophreniform Disorder (F20.81
Alcohol-Induced Psychotic Disorder (F10.159):
Place another one . the professor ask 3 diferential
diagnoses
Tools for Diagnoses: Schizophrenia
Clinical
Global Impression-Schizophrenia (CGI-SCH) scale:
Montgomery-Åsberg
Depression Rating Scale (MADRS):
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