In this post, you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder.

Review Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood 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: 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.

Consider patient diagnostics missing from the video: 

Provider Review outside of interview:

Temp 98.2 Pulse  90 Respiration 18  B/P  138/88

Laboratory Data Available: Urine drug and alcohol screen negative.  CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H).

MAIN 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-TR 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: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, 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.).

Reading Resources

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th 

ed.). Wolters Kluwer.

Chapter 8, “Mood Disorders”

Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. 

Springer.

Chapter 11, “Mood Disorders”

CrashCourse. (2014, September 8). Depressive and bipolar disorders: Crash course psychology #30Links to an external site. [Video]. YouTube. https://youtu.be/ZwMlHkWKDwM https://www.youtube.com/watch?v=ZwMlHkWKDwM&t=1s

Walden University. (2021). Case study: Petunia Park. Walden University 

Blackboard. https://waldenu.instructure.com

 Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples. 

 1500 word evidence based writing:

The review of evidence assignment requires you to review the video or transcript of a preventable death true story, comparing, analysing and reflecting on the scenario leading to a preventable death and what could have been done differently, when compared to current best practice evidence and highlight the best processes to follow as a registered nurse.

Matt was a 16 year-old who died following a simple appendectomy, the following video is Matt’s story told by his mother Heather and Karyn Bousfield, Director of Nursing, West Coast DHB. 

Examining best practice evidence, explain what ‘Don’t normalise the abnormal’ means and using the A-E systematic approach, review the video and identify the A-E “reg flag” signs of deterioration that were mentioned and how these symptoms were normalised.

 As the ward nurse looking after Matt on the night shift, highlight the importance of ‘documentation’ and provide an explanation about the nursing care requirements you would have implemented overnight, including when you would have asked for a clinical review and why? 

  Examine what ‘critical thinking’ is for a nurse and using best practice evidence, explain how Matt’s deterioration and respiratory arrest could have been prevented from a nursing perspective if critical thinking skills had been utilised.

As an almost registered nurse, reflect on what ‘Speaking Up’ means as a nurse, in the given situation and in Australia what processes and supports could you utilise, if you are concerned about a deteriorating patient.

Reply to this post with at least 300 words, 2 references in APA format 7th edition within the last 5 years published, no plagiarism, please.

           When children of school age engage in unwelcome violent actions motivated by a perceived or real power disparity, this is known as bullying. Bullying includes various activities, including threatening behavior, circulating rumors assaulting a person physically, and purposefully leaving someone out of a group. Bullying has substantial and long-lasting detrimental impacts on the mental health and general well-being of young people involved in it in any manner comprising bullies, targets of bullies, and bullies, also known as bully-victims (Armitage, 2021). Among the unfavorable effects of bullying are sadness, anxiety, and subpar academic performance.

           Bullying and suicide have a complicated link. According to studies, persistent bullying can bring on or exacerbate emotions of isolation, rejection, exclusion, despondency, melancholy, and anxiety, which can lead people to ponder suicide (Gómez-Tabares, 2021). Bullying and suicidal conduct are both complex public health issues. Several levels of influence on individuals, families, communities, and society might affect individuals’ susceptibility to one or both behaviors. There is an elevated risk of suicidal conduct among youth who report frequently bullying others and being bullied themselves. Of all the groups of young people who report bullying, bully victims had the highest likelihood of engaging in suicidal behavior.

           Bullying issues are difficult to resolve. The most effective anti-bullying measures take several different angles of attack. They encourage respect by incorporating all school community members, including teachers, employees, parents, bus drivers, nurses, cafeteria staff, and administrators. Therefore, bullying can be avoided with the help of parents, teachers, and other responsible people. Parental interventions are increasingly used in bullying intervention efforts in nations and districts worldwide. The effectiveness of program intervention was substantially correlated with parenting styles, kids’ empathy, and parent-child interactions addressing bullying (Chen et al., 2021). Parenting programs are thought to lessen modifiable parental risk factors for child raising since negative parenting typically has substantial effects, such as physical abuse of children or child maltreatment. Open lines of contact between parents and frequent communication with children and paying attention to them are advisable. Get familiar with their friends, inquire about the state of the school, and empathize with their concerns.

           In addition, by educating children on bullying, bullying can be avoided with the help of parents, teachers, and other responsible people. Teach students that bullying is unacceptable and discuss safe ways to respond to it and what constitutes bullying (StopBullying.gov, 2021). It is essential to teach children how to ask for help. Inspire young people to follow their dreams. Leisure and unusual activities and interests can encourage friendships, boost self-esteem, and protect kids from bullying. Furthermore, set a good example for others by being friendly and respectful. In terms of conduct, children mimic adults. Parents show their children that bullying has no place in the world by treating others with kindness and respect.

References

Armitage, R. (2021). Bullying in children: Impact on child health. BMJ paediatrics open, 5(1).

Chen, Q., Zhu, Y., & Chui, W. H. (2021). A meta-analysis on effects of parenting programs on bullying prevention. Trauma, Violence, & Abuse, 22(5), 1209-1220.

Gómez-Tabares, A. S. (2021). Depression as a mediator between bullying and suicidal behavior in children and adolescents. Psicologia conductual, 29(2), 259-281.

StopBullying.gov. (2021, November 10). How to prevent bullying. https://www.stopbullying.gov/prevention/how-to-prevent-bullying

Using data that can be found on the U.S. Department of Health and Human Services (HHS) or the Centers for Disease Control and Prevention (CDC) websites, identify trends in population demographics and health in an area that you serve.

1.  What are the implications for healthcare providers?

2.  What type of healthcare services and programs is needed right now?

3.  What type of services do you believe will be needed in 10 years?

4.  From a demographic point of view, in 10 years, what will be the important characteristics of the population that you serve if you continue to practice in this geographic region?

I NEED 2 DIFFERENT RESPONSES FOR THE 4 QUESTIONS ABOVE, NOTE THAT EACH RESPONSE MUST BE DIFFERENT , THEY ARE NOT RELATED , I WILL BE SUBMITTED SEPARATELY.

ANSWER DONT NEED BE LONG, IT IS JUST STRAIGHT TO POINT

ADD REFERENCES, AND BE ORIGINAL NO PLAGIO MORE THAN 10 %

NEED ASAP