The Assignment
Assign
DSM-5
and ICD-10 codes to services based upon the patient case scenario.
Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.
Explain what pertinent information, generally, is required in documentation to support
DSM-5
and ICD-10 coding.
Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.
Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.
Instructions
Use the following case template to complete Week 2 Assignment 1. On page 5, assign
DSM-5
and ICD-10 codes to the services documented. You will add your narrative answers to the assignment questions to the bottom of this template and submit altogether as one document.
Identifying Information
Identification was verified by stating of their name and date of birth.
Time spent for evaluation: 0900am-0957am
Chief Complaint
“My other provider retired. I don’t think I’m doing so well.”
HPI
25 yo Russian female evaluated for psychiatric evaluation referred from her retiring practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.
Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent. There is no evidence of psychosis or delusional thinking. Client denied past episodes of hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities, self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily frustrated, loses things easily, makes mistakes, hard time focusing and concentrating, affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of previous rape, isolates, fearful to go outside, has missed several days of work, appetite decreased. She has somatic concerns with GI upset and headaches. Client denied any current binging/purging behaviors, denied withholding food from self or engaging in anorexic behaviors. No self-mutilation behaviors.
Diagnostic Screening Results
Screen of symptoms in the past 2 weeks:
PHQ 9 = 0 with symptoms rated as no difficulty in functioning
Interpretation of Total Score
Total Score Depression Severity 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression
GAD 7 = 2 with symptoms rated as no difficulty in fun.
Student NameCollege of Nursing-PMHNP, Walden UniversityN.docxcpatriciarpatricia
Student Name
College of Nursing-PMHNP, Walden University
NRNP 6675: PMHNP Care Across the Lifespan II
Faculty Name
Assignment Due Date
Pathways Mental Health
PSYCHIATRIC PATIENT EVALUATION
INSTRUCTIONS
Use the following case template to complete Week 2 Assignment 1.
On page 5, assign
DSM-5
and ICD-10 codes to the services documented. You will
add your narrative answers to the assignment questions to the bottom of
this template
and submit altogether as one document.
IDENTIFYING INFORMATION
Identification was verified by stating of their name and date of birth.
Time spent for evaluation: 0900am-0957am
CHIEF COMPLAINT
“My other provider retired. I don’t think I’m doing so well.”
HPI
25 yo Russian female evaluated for psychiatric evaluation referred from her retiring practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.
Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent. There is no evidence of psychosis or delusional thinking. Client denied past episodes of hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities, self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily frustrated, loses things easily, makes mistakes, hard time focusing and concentrating, affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of previous rape, isolates, fearful to go outside, has missed several days of work, appetite decreased. She has somatic concerns with GI upset and headaches. Client denied any current binging/purging behaviors, denied withholding food from self or engaging in anorexic behaviors. No self-mutilation behaviors.
DIAGNOSTIC SCREENING RESULTS
Screen of symptoms in the past 2 weeks:
PHQ 9 = 0 with symptoms rated as no difficulty in functioning
Interpretation of Total Score
Total Score Depression Severity 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression
GAD 7 = 2 with symptoms rated as no difficulty in functioning
Interpreting the Total Score:
Total Score Interpretation ≥10 Possible diagnosis of GAD; confirm by further evaluation 5 Mild Anxiety 10 Moderate anxiety 15 Severe anxiety
MDQ screen negative
PCL-5 Screen 32
PAST PSYCHIATRIC AND SUBSTANCE USE TREATMENT
• Entered mental health system when she was age 19 after raped by a stranger during a house burglary. • Previous Psychiatric Hospitalizations: denied• Previous Detox/Residential treatments: one for abuse of stimulants and cocaine in 2015• Previous psychotropic medication trials: sertraline (became suicidal), trazodone (wor.
Pathways Mental Health Psychiatric Patient Evaluatio.docxpauline234567
Pathways Mental Health
Psychiatric Patient EvaluationInstructions
Use the following case template to complete Week 2 Assignment 1. On page 5, assign
DSM-5-TR and Updated ICD-10 codes to the services documented. You will add your narrative answers to the assignment questions to the bottom of this template and submit altogether as one document.
Identifying Information
Identification was verified by stating of their name and date of birth.
Time spent for evaluation: 0900am-0957amChief Complaint
“My other provider retired. I don’t think I’m doing so well.”HPI
25 yo Russian female evaluated for psychiatric evaluation referred from her retiring practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.
Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent. There is no evidence of psychosis or delusional thinking. Client denied past episodes of hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities, self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily frustrated, loses things easily, makes mistakes, hard time focusing and concentrating, affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of previous rape, isolates, fearful to go outside, has missed several days of work, appetite decreased. She has somatic concerns with GI upset and headaches. Client denied any current binging/purging behaviors, denied withholding food from self or engaging in anorexic behaviors. No self-mutilation behaviors. Diagnostic Screening Results
Screen of symptoms in the past 2 weeks:
PHQ 9 = 0 with symptoms rated as no difficulty in functioning
Interpretation of Total Score
Total Score Depression Severity 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression
GAD 7 = 2 with symptoms rated as no difficulty in functioning
Interpreting the Total Score:
Total Score Interpretation ≥10 Possible diagnosis of GAD; confirm by further evaluation 5 Mild Anxiety 10 Moderate anxiety 15 Severe anxiety
MDQ screen negative
PCL-5 Screen 32Past Psychiatric and Substance Use Treatment
Entered mental health system when she was age 19 after raped by a stranger during a house burglary.
Previous Psychiatric Hospitalizations: denied
Previous Detox/Residential treatments: one for abuse of stimulants and cocaine in 2015
Previous psychotropic medication trials: sertraline (became suicidal), trazodone (worsened nightmares), bupropion (became suicidal), Adderall (began abusing)
Previous mental healt.
Chief Complaint Follow upHistory of Presenting IllnessMrJinElias52
Chief Complaint: Follow up
History of Presenting Illness:
Mr. Gerald is 58-year-old AA male admitted to SBGC on 10/8/21 due to history of HTN, chronic ETOH use, tobacco use, Wernicke's encephalopathy and unspecified psychiatric history. He was seen for follow up via telemedicine. He was selectively mute and could not talk to us much. Nodded head to most questions. Patient is a poor historian and has a history of given conflicting information. Staff report that appetite and sleep varies. He is being managed with Aricept 5mg for dementia and Cogentin 0.5mg for EPS. Ativan 1mg PRN for agitation. Nursing to continue to document behavior to direct further treatment plan. Verbalized understanding. No change in status. Denies suicidal or homicidal ideation. Denies any issue or discomfort currently. Patient denies current SI/HI/AVH/Paranoia/Delusion.
Current Medication: As per Matrix medication lists for medical.
Psychiatric medication: None
Past Psychiatric History: Unknown
Past Psychiatric Hospitalization: Unknown
History of Suicide Attempts or Thoughts- Unknown
Previous Psychiatric Medications: None PTSD: Y/N- Unknown.
Family Psychiatric History: Unknown
Medical History/Review of Systems: See Matrix for medical diagnosis.
Allergies Drug: NKDA.
Food Allergies: NKFA
Surgery: Y/N- Unknown. Sleep and Appetite Varies.
Normal Developmental History: None
Exposure to Drugs/medication/Alcohol: Y/N-Unknown
Speech/Language delays: Y/N- Yes
Sexual Abuse or Physical abuse: Y/N-Unknown
Social History: Unknown
Sexually active. Are you in relationship: Unknown?
Family Structure: Unknown
Favorite/Leisure activity: Y/N: Unknown
Educational History/Career: Unknown
Work history: Unknown
Substance Use History: Unknown.
Legal History: Y/N- Unknown
Mental Status Examination:
General Appearance: Neat & clean, casually dressed in good hygiene.
Eye contact: Normal Psychomotor Activity: Normal
Memory: Long term and short-term memory not intact. Attention: Reduced
SPEECH: Decreased speech in amount, rate, and volume.
MOOD: objectively Poor.
AFFECT: Flat and anxious.
THOUGHT PROCESS: Not appropriate.
THOUGHT CONTENT: Denies SI/HI.
PERCEPTIONS: Denies AVH sensorium.
INSIGHT: Poor
JUDGMENT: Poor
COGNITION: Poor
Language. normal.
Diagnosis:
F03.20 Dementia.
Suicidal ideation/HI - Denies Suicidal or homicidal ideation.
PROTECTIVE FACTORS: Family support
RISK ASSESSMENT: Low
SAFETY PLAN RECOMMENDATIONS: Notify staff if feeling Suicidal and call 911 for suicidal attempt.
Psychosis: - Denies Paranoia and delusional.
Prescription: No medication at this time.
Medication Education: Aricept 5mg at bed time for dementia. Cogentin 0.5mg for EPS. Ativan 1mg every 6hrs PRN.
Non-Pharmacological Education Recommended: Continue to use positive coping skills as needed. Identify triggers and address them proactively.
Plan: In 90 days, there will be improvement in memory and concentration.
Fall precaution in place
Follow up in 2 to 4 weeks.
NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation ...
Meditrek NoteName J. C. Age 40yrs Purpose of Note InitialAbramMartino96
Meditrek Note
Name: J. C.
Age: 40yrs
Purpose of Note: Initial psychiatric evaluation
Chief complaint: Severe inattentiveness interfering with occupational functioning.
Diagnosis: F90.2 - Attention-deficit hyperactivity disorder, combined type.
Medical/Physical Disorders: None Psychosocial Stressors (formerly Axis IV):
Problems with: Axis I condition/mental health problem. Presenting Problem Inattentiveness hyperactivity and impulsivity MENTAL STATUS EXAMINATION & BEHAVIORAL OBSERVATIONS Appearance: Well-nourished, well-groomed, and developed and in no acute distress.
Behavior: Well-controlled with good eye contact. Psychomotor activity: Normal. Speech: The client spoke at a normal rate, rhythm, and tone. Volume: Normal.
Language: Unimpaired. Mood: Anxious, worried and slightly irritable.
Affect: Full ranging, mood congruent and appropriate. Thought Processes: Coherent, i.e., logical and goal directed.
Associations: There were no flight of ideas or ideas of reference.
Attention: Markedly impaired with impulsivity and inattentiveness increased distractibility
Thought Content: There were no hallucinations, delusions, phobias, or paranoia.
Orientation: Alert and oriented in all spheres, i.e., oriented to person, place, time and situation. Judgment/Insight: Adequate.
Suicidal Ideations: There were no active or passive suicidal ideations.
Homicidal Ideations: Denied.
Memory: Grossly intact without deficits.
Fund of Knowledge: Grossly average to high average.
Past Psychiatric History: [ADHD diagnosed as a child treated with Ritalin and Adderall until she became pregnant with her daughter. No history of inpatient psychiatric services or suicidal behavior].
Substance Use History: [Occasional drink of wine without any history of illicit drug use].
Family Psychiatric History: [ Sons with ADHD and other relatives with ADHD].
Past Medical History: None. Past Surgical History: [ Partial hysterectomy due to fibroids and dysfunctional uterine bleeding]. Allergies: No known drug allergies.
Medications: [ Multivitamins]. Psychosocial History: Patient was the product of a normal childbirth. Patient had no developmental delays. She was born and raised in Oxford England. She described her childhood as good but having to move around in a military family. Patient denied having any history of abuse or neglect. Patient is a high school graduate. Has a bachelor’s degree. She is currently married with 4 children 2 biological children and 2 stepchildren. She currently works in marketing however this job has been adversely affected due to her ADHD related symptoms.
History of Present Illness: This patient is self -referred reports being diagnosed with ADHDs as a child and was treated with Ritalin and Adderall until 2006, she discontinued her medications when she became pregnant with her daughter. The patient never undergone any inpatient psychiatric services and never engaged in any self-injurious or suicidal behavior. Patient continues to have dif ...
2Assessing ClientsA comprehensive assessment of the patient who p.docxBHANU281672
2Assessing Clients“A comprehensive assessment of the patient who presents for psychotherapy is necessary to develop an appropriate treatment plan. This assessment is a relational process that sets the tone for subsequent sessions” (Wheeler, 2014, p. 131). As a future Psychiatric Mental Health Nurse Practitioner, it is essential to be able to accurately assess clients to determine whether yourtherapeutic approach would contribute to improved clinical outcomes. The purpose of this assignment is to select a client that was observed or counseled at my practicum site and completea comprehensive client assessment and genogram for the client selected.Comprehensive Client AssessmentDemographic information for the client chosen is as follows: The client is a 27-year-old African female who resides in Maryland. She is a single, heterosexual, mother of fraternal twins,a boy and a girl. She was referred by her psychiatrist to the current counselor for psychotherapy and is primarily followed by the psychiatrist for medication management. The client has been receiving psychotherapy for the past two years. Her presenting problem revolves around learning how to be independent while coping with her mental illness. She stated, “I need help with figuring out my finances.” History of present illness: Client has a history of bipolar and presented to the office with complaints about her “baby daddy” not wanting to help her out with their children and about how difficult it’s going to be when her cousin stops keeping her twins because daycare is expensive. She also expressed discontent towards her father interfering in herpsychiatric care because he shares the same Nigerian ethnicity as her psychiatrist and she wants to be on less medication and receives more psychotherapy. The client’s past psychiatric history includes two psychiatric hospitalizations for manic episodes with psychosis. Medical history includes a previous diagnosis of hypertension (HTN), but that diagnosis was later removed. The
3client never took any medications for HTN diagnosis, and HTN resolved through life modifiers. Currently takes Lithium and Cogentin. The client has no substance use history, and developmental milestones were reached as expected. No family psychiatric history reported. Psychosocial history: She currently lives with her father. Her youngest brother and cousin, who is married, also reside in the same house. She works a full-time minimum wage job and is recently single. She has been in contact with her ex-boyfriend who is trying to ‘hook up’ with her to have sex. She is the mother of fraternal twins, a boy and a girl. No history of abuse or trauma.Psychiatric Review of SystemsClient denies “shortness of breath, heart palpitations, panic attacks, sweating flushing, hyperventilation, sense of doom, fear of death or collapse, cold or clammy skin, and tingling sensations in extremities” (Wheeler, 2014, p. 140). Client denies feeling sad, irritable, tired, h.
Student NameCollege of Nursing-PMHNP, Walden UniversityN.docxcpatriciarpatricia
Student Name
College of Nursing-PMHNP, Walden University
NRNP 6675: PMHNP Care Across the Lifespan II
Faculty Name
Assignment Due Date
Pathways Mental Health
PSYCHIATRIC PATIENT EVALUATION
INSTRUCTIONS
Use the following case template to complete Week 2 Assignment 1.
On page 5, assign
DSM-5
and ICD-10 codes to the services documented. You will
add your narrative answers to the assignment questions to the bottom of
this template
and submit altogether as one document.
IDENTIFYING INFORMATION
Identification was verified by stating of their name and date of birth.
Time spent for evaluation: 0900am-0957am
CHIEF COMPLAINT
“My other provider retired. I don’t think I’m doing so well.”
HPI
25 yo Russian female evaluated for psychiatric evaluation referred from her retiring practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.
Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent. There is no evidence of psychosis or delusional thinking. Client denied past episodes of hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities, self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily frustrated, loses things easily, makes mistakes, hard time focusing and concentrating, affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of previous rape, isolates, fearful to go outside, has missed several days of work, appetite decreased. She has somatic concerns with GI upset and headaches. Client denied any current binging/purging behaviors, denied withholding food from self or engaging in anorexic behaviors. No self-mutilation behaviors.
DIAGNOSTIC SCREENING RESULTS
Screen of symptoms in the past 2 weeks:
PHQ 9 = 0 with symptoms rated as no difficulty in functioning
Interpretation of Total Score
Total Score Depression Severity 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression
GAD 7 = 2 with symptoms rated as no difficulty in functioning
Interpreting the Total Score:
Total Score Interpretation ≥10 Possible diagnosis of GAD; confirm by further evaluation 5 Mild Anxiety 10 Moderate anxiety 15 Severe anxiety
MDQ screen negative
PCL-5 Screen 32
PAST PSYCHIATRIC AND SUBSTANCE USE TREATMENT
• Entered mental health system when she was age 19 after raped by a stranger during a house burglary. • Previous Psychiatric Hospitalizations: denied• Previous Detox/Residential treatments: one for abuse of stimulants and cocaine in 2015• Previous psychotropic medication trials: sertraline (became suicidal), trazodone (wor.
Pathways Mental Health Psychiatric Patient Evaluatio.docxpauline234567
Pathways Mental Health
Psychiatric Patient EvaluationInstructions
Use the following case template to complete Week 2 Assignment 1. On page 5, assign
DSM-5-TR and Updated ICD-10 codes to the services documented. You will add your narrative answers to the assignment questions to the bottom of this template and submit altogether as one document.
Identifying Information
Identification was verified by stating of their name and date of birth.
Time spent for evaluation: 0900am-0957amChief Complaint
“My other provider retired. I don’t think I’m doing so well.”HPI
25 yo Russian female evaluated for psychiatric evaluation referred from her retiring practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.
Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent. There is no evidence of psychosis or delusional thinking. Client denied past episodes of hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities, self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily frustrated, loses things easily, makes mistakes, hard time focusing and concentrating, affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of previous rape, isolates, fearful to go outside, has missed several days of work, appetite decreased. She has somatic concerns with GI upset and headaches. Client denied any current binging/purging behaviors, denied withholding food from self or engaging in anorexic behaviors. No self-mutilation behaviors. Diagnostic Screening Results
Screen of symptoms in the past 2 weeks:
PHQ 9 = 0 with symptoms rated as no difficulty in functioning
Interpretation of Total Score
Total Score Depression Severity 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression
GAD 7 = 2 with symptoms rated as no difficulty in functioning
Interpreting the Total Score:
Total Score Interpretation ≥10 Possible diagnosis of GAD; confirm by further evaluation 5 Mild Anxiety 10 Moderate anxiety 15 Severe anxiety
MDQ screen negative
PCL-5 Screen 32Past Psychiatric and Substance Use Treatment
Entered mental health system when she was age 19 after raped by a stranger during a house burglary.
Previous Psychiatric Hospitalizations: denied
Previous Detox/Residential treatments: one for abuse of stimulants and cocaine in 2015
Previous psychotropic medication trials: sertraline (became suicidal), trazodone (worsened nightmares), bupropion (became suicidal), Adderall (began abusing)
Previous mental healt.
Chief Complaint Follow upHistory of Presenting IllnessMrJinElias52
Chief Complaint: Follow up
History of Presenting Illness:
Mr. Gerald is 58-year-old AA male admitted to SBGC on 10/8/21 due to history of HTN, chronic ETOH use, tobacco use, Wernicke's encephalopathy and unspecified psychiatric history. He was seen for follow up via telemedicine. He was selectively mute and could not talk to us much. Nodded head to most questions. Patient is a poor historian and has a history of given conflicting information. Staff report that appetite and sleep varies. He is being managed with Aricept 5mg for dementia and Cogentin 0.5mg for EPS. Ativan 1mg PRN for agitation. Nursing to continue to document behavior to direct further treatment plan. Verbalized understanding. No change in status. Denies suicidal or homicidal ideation. Denies any issue or discomfort currently. Patient denies current SI/HI/AVH/Paranoia/Delusion.
Current Medication: As per Matrix medication lists for medical.
Psychiatric medication: None
Past Psychiatric History: Unknown
Past Psychiatric Hospitalization: Unknown
History of Suicide Attempts or Thoughts- Unknown
Previous Psychiatric Medications: None PTSD: Y/N- Unknown.
Family Psychiatric History: Unknown
Medical History/Review of Systems: See Matrix for medical diagnosis.
Allergies Drug: NKDA.
Food Allergies: NKFA
Surgery: Y/N- Unknown. Sleep and Appetite Varies.
Normal Developmental History: None
Exposure to Drugs/medication/Alcohol: Y/N-Unknown
Speech/Language delays: Y/N- Yes
Sexual Abuse or Physical abuse: Y/N-Unknown
Social History: Unknown
Sexually active. Are you in relationship: Unknown?
Family Structure: Unknown
Favorite/Leisure activity: Y/N: Unknown
Educational History/Career: Unknown
Work history: Unknown
Substance Use History: Unknown.
Legal History: Y/N- Unknown
Mental Status Examination:
General Appearance: Neat & clean, casually dressed in good hygiene.
Eye contact: Normal Psychomotor Activity: Normal
Memory: Long term and short-term memory not intact. Attention: Reduced
SPEECH: Decreased speech in amount, rate, and volume.
MOOD: objectively Poor.
AFFECT: Flat and anxious.
THOUGHT PROCESS: Not appropriate.
THOUGHT CONTENT: Denies SI/HI.
PERCEPTIONS: Denies AVH sensorium.
INSIGHT: Poor
JUDGMENT: Poor
COGNITION: Poor
Language. normal.
Diagnosis:
F03.20 Dementia.
Suicidal ideation/HI - Denies Suicidal or homicidal ideation.
PROTECTIVE FACTORS: Family support
RISK ASSESSMENT: Low
SAFETY PLAN RECOMMENDATIONS: Notify staff if feeling Suicidal and call 911 for suicidal attempt.
Psychosis: - Denies Paranoia and delusional.
Prescription: No medication at this time.
Medication Education: Aricept 5mg at bed time for dementia. Cogentin 0.5mg for EPS. Ativan 1mg every 6hrs PRN.
Non-Pharmacological Education Recommended: Continue to use positive coping skills as needed. Identify triggers and address them proactively.
Plan: In 90 days, there will be improvement in memory and concentration.
Fall precaution in place
Follow up in 2 to 4 weeks.
NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation ...
Meditrek NoteName J. C. Age 40yrs Purpose of Note InitialAbramMartino96
Meditrek Note
Name: J. C.
Age: 40yrs
Purpose of Note: Initial psychiatric evaluation
Chief complaint: Severe inattentiveness interfering with occupational functioning.
Diagnosis: F90.2 - Attention-deficit hyperactivity disorder, combined type.
Medical/Physical Disorders: None Psychosocial Stressors (formerly Axis IV):
Problems with: Axis I condition/mental health problem. Presenting Problem Inattentiveness hyperactivity and impulsivity MENTAL STATUS EXAMINATION & BEHAVIORAL OBSERVATIONS Appearance: Well-nourished, well-groomed, and developed and in no acute distress.
Behavior: Well-controlled with good eye contact. Psychomotor activity: Normal. Speech: The client spoke at a normal rate, rhythm, and tone. Volume: Normal.
Language: Unimpaired. Mood: Anxious, worried and slightly irritable.
Affect: Full ranging, mood congruent and appropriate. Thought Processes: Coherent, i.e., logical and goal directed.
Associations: There were no flight of ideas or ideas of reference.
Attention: Markedly impaired with impulsivity and inattentiveness increased distractibility
Thought Content: There were no hallucinations, delusions, phobias, or paranoia.
Orientation: Alert and oriented in all spheres, i.e., oriented to person, place, time and situation. Judgment/Insight: Adequate.
Suicidal Ideations: There were no active or passive suicidal ideations.
Homicidal Ideations: Denied.
Memory: Grossly intact without deficits.
Fund of Knowledge: Grossly average to high average.
Past Psychiatric History: [ADHD diagnosed as a child treated with Ritalin and Adderall until she became pregnant with her daughter. No history of inpatient psychiatric services or suicidal behavior].
Substance Use History: [Occasional drink of wine without any history of illicit drug use].
Family Psychiatric History: [ Sons with ADHD and other relatives with ADHD].
Past Medical History: None. Past Surgical History: [ Partial hysterectomy due to fibroids and dysfunctional uterine bleeding]. Allergies: No known drug allergies.
Medications: [ Multivitamins]. Psychosocial History: Patient was the product of a normal childbirth. Patient had no developmental delays. She was born and raised in Oxford England. She described her childhood as good but having to move around in a military family. Patient denied having any history of abuse or neglect. Patient is a high school graduate. Has a bachelor’s degree. She is currently married with 4 children 2 biological children and 2 stepchildren. She currently works in marketing however this job has been adversely affected due to her ADHD related symptoms.
History of Present Illness: This patient is self -referred reports being diagnosed with ADHDs as a child and was treated with Ritalin and Adderall until 2006, she discontinued her medications when she became pregnant with her daughter. The patient never undergone any inpatient psychiatric services and never engaged in any self-injurious or suicidal behavior. Patient continues to have dif ...
2Assessing ClientsA comprehensive assessment of the patient who p.docxBHANU281672
2Assessing Clients“A comprehensive assessment of the patient who presents for psychotherapy is necessary to develop an appropriate treatment plan. This assessment is a relational process that sets the tone for subsequent sessions” (Wheeler, 2014, p. 131). As a future Psychiatric Mental Health Nurse Practitioner, it is essential to be able to accurately assess clients to determine whether yourtherapeutic approach would contribute to improved clinical outcomes. The purpose of this assignment is to select a client that was observed or counseled at my practicum site and completea comprehensive client assessment and genogram for the client selected.Comprehensive Client AssessmentDemographic information for the client chosen is as follows: The client is a 27-year-old African female who resides in Maryland. She is a single, heterosexual, mother of fraternal twins,a boy and a girl. She was referred by her psychiatrist to the current counselor for psychotherapy and is primarily followed by the psychiatrist for medication management. The client has been receiving psychotherapy for the past two years. Her presenting problem revolves around learning how to be independent while coping with her mental illness. She stated, “I need help with figuring out my finances.” History of present illness: Client has a history of bipolar and presented to the office with complaints about her “baby daddy” not wanting to help her out with their children and about how difficult it’s going to be when her cousin stops keeping her twins because daycare is expensive. She also expressed discontent towards her father interfering in herpsychiatric care because he shares the same Nigerian ethnicity as her psychiatrist and she wants to be on less medication and receives more psychotherapy. The client’s past psychiatric history includes two psychiatric hospitalizations for manic episodes with psychosis. Medical history includes a previous diagnosis of hypertension (HTN), but that diagnosis was later removed. The
3client never took any medications for HTN diagnosis, and HTN resolved through life modifiers. Currently takes Lithium and Cogentin. The client has no substance use history, and developmental milestones were reached as expected. No family psychiatric history reported. Psychosocial history: She currently lives with her father. Her youngest brother and cousin, who is married, also reside in the same house. She works a full-time minimum wage job and is recently single. She has been in contact with her ex-boyfriend who is trying to ‘hook up’ with her to have sex. She is the mother of fraternal twins, a boy and a girl. No history of abuse or trauma.Psychiatric Review of SystemsClient denies “shortness of breath, heart palpitations, panic attacks, sweating flushing, hyperventilation, sense of doom, fear of death or collapse, cold or clammy skin, and tingling sensations in extremities” (Wheeler, 2014, p. 140). Client denies feeling sad, irritable, tired, h.
Initial Psychiatric InterviewSOAP Note Template There are diff.docxLaticiaGrissomzz
Initial Psychiatric Interview/SOAP Note Template
There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting.
Criteria
Clinical Notes
Informed Consent
Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and (Will review additional consent during treatment plan discussion)
Subjective
Verify Patient
Name:
DOB:
Minor:
Accompanied by:
Demographic:
Gender Identifier Note:
CC:
HPI:
Pertinent history in record and from patient: X
During assessment: Patient describes their mood as X and indicated it has gotten worse in TIME.
Patient self-esteem appears fair, no reported feelings of excessive guilt,
no reported anhedonia, does not report sleep disturbance, does not report change in appetite, does not report libido disturbances, does not report change in energy,
no reported changes in concentration or memory.
Patient does not report increased activity, agitation, risk-taking behaviors, pressured speech, or euphoria. Patient does not report excessive fears, worries or panic attacks.
Patient does not report hallucinations, delusions, obsessions or compulsions. Patient’s activity level, attention and concentration were observed to be within normal limits. Patient does not report symptoms of eating disorder. There is no recent weight loss or gain. Patient does not report symptoms of a characterological nature.
SI/ HI/ AV: Patient currently denies suicidal ideation, denies SIBx, denies homicidal ideation, denies violent behavior, denies inappropriate/illegal behaviors.
Allergies: NKDFA.
(medication & food)
Past Medical Hx:
Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.
Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.
Surgical history no surgical history reported
Past Psychiatric Hx:
Previous psychiatric diagnoses: none reported.
Describes stable course of illness.
Previous medication trials: none reported.
Safety concerns:
History of Violence
to Self: none reported
History of Violence t
o Others: none reported
Auditory Hallucinations:
Visual Hallucinations:
Mental health treatment history discussed:
History of outpatient treatment: not reported
Previous psychiatric hospitalizations: not reported
Prior substance abuse treatment: not reported
Trauma history: Client does not report history of trauma including abuse, domestic violence, witnessing disturbing.
Initial Psychiatric Interview/SOAP Note Template
Criteria
Clinical Notes
Informed Consent
Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and (Will review additional consent during treatment plan discussion)
Subjective
Verify Patient
Name: Susan
DOB: not provided
Minor: NA
Accompanied by: self
Demographic: NA
Gender Identifier Note: Female
CC: “I have been feeling anxious, depresssed, high blood pressure, irregular heartbeat, elevated body temperature, crying spells for the last 2 days”
.
HPI: Susan is a midde aged woman who reports to the healthcare clinic reporting several symptoms that she has observed over the period of the last two days. She reports having high blood pressure, an irregular heartbeat, depression, anxiety, and an increase in body temperature. Susan doesn't realize that she shows signs of alcohol dependence and physiological dependence, which downplays the seriousness of her alcohol usage. This diagnosis is supported by the withdrawal symptoms that appear to be becoming more tolerable as well as by the sustained and increased alcohol consumption despite the harm it does to social interactions and job performance. She has also increased her alcohol consumption to ease withdrawal symptoms. s He has a history of drinking, which has caused him to skip work and even get arrested. She downplays her alcohol consumption and justifies how often and how much she drinks.
Pertinent history in record and from patient: Alcohol withdrawal
During assessment: Patient is cam and corparative
Patient seemed to be suffering from serious cases of both anxiety and despair judging from her crying spells.
Patient denies hallucinating. The patient has nomal thought process. .
SI/ HI/ AV: patient denies signs of suicidal ideation and violent behavior.
Allergies: NKDFA.
(medication & food)
Past Medical Hx:
Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.
Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.
Surgical history no surgical history reported
Past Psychiatric Hx:
Previous psychiatric diagnoses: NKDA
Describes stable course of illness.
Previous medication trials: not reported
Safety concerns:
History of Violence
to Self:none reported
History of Violence t
o Others: none reported
Auditory Hallucinations: not reported
Mental health treatment history discussed:
History of outpatient treatment: not reported
Previous psychiatric hospitalizations: not reported
Priorsubstance abuse treatment: not reported
Trauma history: Client reveals no history of traumatic experiences (such as abuse, domestic violence, or exposure .
Week 5 Focused SOAP Note and Patient Case Presentation Cosamirapdcosden
Week 5: Focused SOAP Note and Patient Case Presentation
College of Nursing-PMHNP, Walden University
NRNP 6675: PMHNP Care Across the Lifespan 2 Practicum
Introduction
Psychosis is a mental condition in which a person's ideas and perceptions are disrupted,
and the individual may have difficulty distinguishing between what is real and what is not.
A health condition, medications, or drug usage can all contribute to psychosis. Delusions,
hallucinations, incomprehensible speech, and agitation are all possible signs; the patient has
incorrect beliefs and sees or hears things that others do not see or hear. The person suffering from
the disease is usually unaware of his or her actions. Medication, psychotherapy, peer support,
family support and education, and talk therapy are all options for treatment. More or less every
mental intervention is backed by evidence accumulated during the patient's initial interview; each
patient's therapy begins with a thorough medical and mental health evaluation, the incorporation
of trust, and a discussion of past mental health history, substance misuse history, family mental
health history, and so on. In this example, the patient's evaluation was documented, and a
diagnosis was made based on the information collected from the patient during the evaluation.
When the case was being developed, a therapeutic approach was designed. The patient is a 53-
year-old Caucasian male who was scheduled for an initial screening for a psychotic disorder after
his sister recommended a visit to the psychiatrist because patient's behavior changed since the
mother passed away.
Patient Initial: S.T Age: 53 Gender: Male
Subjective Data:
CC: "I was brought here by my sister because since my mother passed away, I was living on my
own and not bothering anyone. Those people outside my window they are after me. They just
want me dead".
HPI: When patient was asked " what people?". Patient said " the government sent them to get
me because my taxes are high". Suddenly patient asked the provider if she can see the birds or
hear any loud noise. The provider responded by redirecting the patient that she does not hear any
voice or see anything. When the provider how long he is been hearing the voices or seeing
things, patient said " for weeks, weeks and weeks". Patient also said the sister tapped her phone
with the government. When asked about sleep, patient said " I have not slept well because the
voices keep me up for days. I try to watch the TV, they poison my food on TV, I locked
everything down in the fridge". Suddenly patient asked " Can I smoke?". Provider said "no you
can't smoke here". Patient admit that he smokes all day about 3 packs a day. Drinks alcohol
which his sister purchased for him to last him for weeks. Patient denies use of drugs. Admit to
history of marijuana use 3 years ago before the m ...
Initial Psychiatric SOAP Note Template There are different ways.docxLaticiaGrissomzz
Initial Psychiatric SOAP Note Template
There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting.
Criteria
Clinical Notes
Informed Consent
Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and (Will review additional consent during treatment plan discussion)
Subjective
Verify Patient
Name:
DOB:
Minor:
Accompanied by:
Demographic:
Gender Identifier Note:
CC:
HPI:
Pertinent history in record and from patient: X
During assessment: Patient describes their mood as X and indicated it has gotten worse in TIME.
Patient self-esteem appears fair, no reported feelings of excessive guilt,
no reported anhedonia, does not report sleep disturbance, does not report change in appetite, does not report libido disturbances, does not report change in energy,
no reported changes in concentration or memory.
Patient does not report increased activity, agitation, risk-taking behaviors, pressured speech, or euphoria. Patient does not report excessive fears, worries or panic attacks.
Patient does not report hallucinations, delusions, obsessions or compulsions. Patient’s activity level, attention and concentration were observed to be within normal limits. Patient does not report symptoms of eating disorder. There is no recent weight loss or gain. Patient does not report symptoms of a characterological nature.
SI/ HI/ AV: Patient currently denies suicidal ideation, denies SIBx, denies homicidal ideation, denies violent behavior, denies inappropriate/illegal behaviors.
Allergies: NKDFA.
(medication & food)
Past Medical Hx:
Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.
Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.
Surgical history no surgical history reported
Past Psychiatric Hx:
Previous psychiatric diagnoses: none reported.
Describes stable course of illness.
Previous medication trials: none reported.
Safety concerns:
History of Violence
to Self: none reported
History of Violence t
o Others: none reported
Auditory Hallucinations:
Visual Hallucinations:
Mental health treatment history discussed:
History of outpatient treatment: not reported
Previous psychiatric hospitalizations: not reported
Prior substance abuse treatment: not reported
Trauma history: Client does not report history of trauma including abuse, domestic violence, witnessing disturbing events.
.
Comprehensive Client Family Assessment and Genogram The client.docxmccormicknadine86
Comprehensive Client Family Assessment and Genogram
The client is a 24-year-old female, single, African America active duty, service member (SM). SM who resides in the barracks medication, SM MOS is 25U, signal support specialist (IT), SM recently completed basic training and Advanced Individual Training (AIT), before enlisting SM worked as Computer Specialist.
Presenting Problem: I do not know why I am here; I do not need to be here.”
History of Present illness: She appears slightly disheveled, tired, and generally irritable both in the lobby, with nursing staff, and once in the room. She is accompanied by an escort who remains throughout the visit.
Past Psychiatric history: Insomnia.
Medical History: None
Substance use History: denies
Developmental History: She who appears older than stated age, the client is disheveled, with noted body odor
Family Psychiatric history: no familial history
Maternal grandmother marijuana user, paternal grandmother incarcerated no further history. Father Diabetes, Mother HTN, one sister HTN, 1 Brother HTN
Psychosocial History: She states she was homeless before joining the Army National Guard, difficulty to find a job. She wants to go to college for nursing or IT.
History of abuse/Trauma: She reports two episodes of sexual harassment in 2012 in 2013 with no sexual assault but declines to provide more information: no article 15s or negative counseling statements related to her behavior.
Review of Systems:
General: She is alert and oriented x 1 self only B/P 100/60 59, 24, 97.7, 99% room air. Pain 0/10, Weight 153.
HEENT: no discharge intact, moist
Skin: warm and dry
Cardiovascular: no palpitations
Respiratory: no cough or rales or expiratory wheezing was noted neither was any adventitious sounds heard.
GI: No nausea, no vomiting, and no abdominal pain..
Genitourinary: She denies any burning upon urination and dribbling. No obstetrics or gynecology symptoms LMP states 05/01/2019
Neurological: She denies headaches, dizziness, and tingling in all her extremities.
Musculoskeletal: FULL ROM to all extremities
Psychiatric:
Allergies: No known medication/ food allergies
Mental Status Examination
Orientation: Alert and oriented to person
Appearance: in uniform, disheveled, mild body odor
Musculoskeletal: gait and station intact
Behavioral: Irritable/cooperative
Motor activity: appropriate
Speech: pressured, frenzied
Mood: euthymic
Affect: Irritated Restless
Thought content: No suicidal ideation, no homicidal ideation
Perceptions: denies auditory/visual hallucination exaggerated sense of self
Thought Process: illogical and irrational
Attention and Concentration: distracted
Remote and Recent Memory: able to recall the last 5 minutes
Judgment: delayed
Insight and Judgment: fragmented
Differential Diagnosis:
Schizophrenia: a brain disorder that affects how a person reason, feel, and perceive. The hallmark symptom of schizophrenia is psychosis, such as experiencing ...
Initial Psychiatric SOAP Note TemplateThere are different ways i.docxpauline234567
Initial Psychiatric SOAP Note Template
There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting.
Criteria
Clinical Notes
Informed Consent
Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and
(Will review additional consent during treatment plan discussion)
Subjective
Verify Patient
Name:
DOB:
Minor:
Accompanied by:
Demographic:
Gender Identifier Note:
CC:
HPI:
Pertinent history in record and from patient: X
During assessment: Patient describes their mood as X and indicated it has gotten worse in TIME.
Patient self-esteem appears fair, no reported feelings of excessive guilt,
no reported anhedonia, does not report sleep disturbance, does not report change in appetite, does not report libido disturbances, does not report change in energy,
no reported changes in concentration or memory.
Patient does not report increased activity, agitation, risk-taking behaviors, pressured speech, or euphoria. Patient does not report excessive fears, worries or panic attacks.
Patient does not report hallucinations, delusions, obsessions or compulsions. Patient’s activity level, attention and concentration were observed to be within normal limits. Patient does not report symptoms of eating disorder. There is no recent weight loss or gain. Patient does not report symptoms of a characterological nature.
SI/ HI/ AV: Patient currently denies suicidal ideation, denies SIBx, denies homicidal ideation, denies violent behavior, denies inappropriate/illegal behaviors.
Allergies: NKDFA.
(medication & food)
Past Medical Hx:
Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.
Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.
Surgical history no surgical history reported
If Minor obtain Developmental Hx: (most often from parents), in utero, birth and delivery hx, early childhood, school hx, behavior, etc…
Nutritional status (this is an important component to gauge how well the mind and body are being nourished for full function. Ex: lack of iodine create thyroid issues, thyroid issues creates metabolism issues which affects function of cognition, mood, etc…)
Past Psychiatric Hx:
Previous psychiatric diagnoses: none reported.
Describes stable course of illness.
Previous medication trials: none reported.
Safety concerns:
History of Violence
to Self: none reported
History of Violence t
.
NRNP/PRAC 6645 Comprehensive Psychiatric
Evaluation Note Template
INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY
If you are struggling with the format or remembering what to include, follow the
Comprehensive Psychiatric Evaluation Template
AND the Rubric
as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignments. After reviewing full details of the rubric, you can use it as a guide.
In the
Subjective section, provide:
· Chief complaint
· History of present illness (HPI)
· Past psychiatric history
· Medication trials and current medications
· Psychotherapy or previous psychiatric diagnosis
· Pertinent substance use, family psychiatric/substance use, social, and medical history
· Allergies
· ROS
·
Read rating descriptions to see the grading standards!
In the
Objective section, provide:
· Physical exam documentation of systems pertinent to the chief complaint, HPI, and history
· Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.
·
Read rating descriptions to see the grading standards!
In the
Assessment section, provide:
· Results of the mental status examination,
presented in paragraph form.
· At least three differentials with supporting evidence. List them from top priority to least priority. Compare the
DSM-5 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.
·
Read rating descriptions to see the grading standards!
Reflect on this case. Include 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!), 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.).
(The comprehensive evaluation is typically the
initial new patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for all illnesses which could be impacting your patient. For example, anxiety sympt.
Identifying and Treating Individuals and Families Experiencing Early and Acut...Sarah Amani
The main objective of this online workshop was to raise awareness about symptoms of psychosis and how to support individuals and families experiencing prodrome, early and acute psychosis in different settings ranging from primary care, community mental health and acute hospital
Depression is a common illness worldwide, with an estimated 3.8% of the population affected, including 5.0% among adults and 5.7% among adults older than 60 years.
Name Case Study Title Briefly What happened Provi.docxpauline234567
Name:
Case Study Title:
Briefly What happened? Provide the article title, URL and a one sentence summary of the case.
Key Stakeholders and how were they negatively impacted: [This does not need to be a complete list, just several major stakeholders (not stockholders, though the stockholders may be stakeholders). Briefly explain the relationship with the company – why they are stakeholders
What was the final outcome? [prison, fines, termination, and for how many individuals]
Describe why you feel the actions were morally wrong? [Be sure to use keywords describing your moral base (consequentialist, care, duty, act utilitarian, prima facie duties, etc.) and why your compass would justify classifying the action as morally wrong. Alternatively, discuss why you may feel the action was morally acceptable.]
Put yourself in a position of leadership and describe what you would put in place that would have prevented this in the first place or keep it from happening again. Or, alternatively what rules would you implement to justify the action:
NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template
Assignment Instructions:
Answer with minumun 2 paragraphs each the following questions based in the bellow clinical case:
1. What other additional differential diagnosis is applicable based on the presention symptoms? explain
2. What additional history is required to confirm the diagnosis?
3. What other medications would be applicable in her situation?
** At least 2 references per question**
Subjective
CC (chief complaint): “I need help, I feel empty and overwhelmed by sadness”.
HPI: Client MM is a 33-year-old Caucasian female who was referred from the women center after she lost a term pregnancy of twins 13 months ago. She presented for a psychiatric evaluation with her husband in attendance. They both looked very sad. She reported that the reason for referral was because she was very depressed after losing her pregnancy and was having suicidal thoughts. She was started on Zoloft 50 mg pod once a day at the women center. She currently denies any suicidal or homicidal ideation. She is feeling intense sadness. Admits to having rumination thoughts. She is still grieving the loss of her pregnancy. Admits that she has not been able to get back to work after the burying her babies remain. She said she has lost interest in doing things she enjoys doing. Admits to have lost her appetite and is skipping meals. She has poor memory and concentration. Denies any distractibility. She has poor sleep, sleeps 4 to 5 hours per night. Patient endorse hopelessness, helplessness and worthlessness, however, she said she is not suicidal at this time. Reports to be anxious. Admits to racing thoughts and mood swing. Admits to nightmares. Denies paranoia, delusions and hallucination. PHQ-9 score 24.
Past psychiatric history: Denies any previous psychiatric history.
Social histor.
The Assignment consists of 3 Parts.Part I Journal 200 words s.docxrtodd17
The Assignment consists of 3 Parts.
Part I Journal 200 words single Sheet NO CITATION NEEDED.
Part II Essay 1 page. APA Style Citation required (Case Attached )
Part III PowerPoint 7 slides plus Front page and references Total 9 slides minimum
.
The assignment consists of a Discussion that should be at least .docxrtodd17
The assignment consists of a Discussion that should be at least 500 words and 2-4 page paper. Below are the Resources that can be used. Attached are the 2 DIFFERENT assignments.
Resources
Beerma, D. (2012). Advocacy handbook for social workers. National Association of Social Workers – North Carolina Chapter. Retrieved fromhttp://c.ymcdn.com/sites/naswnc.site-ym.com/resource/resmgr/Advocacy/Advocacyhandbook.pdf
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014). Social work case studies: Foundation year. Baltimore: MD: Laureate International Universities Publishing. [Vital Source e-reader].
"Working with Clients with Dual Diagnosis: The Case of Joe" (pp. 77–78)
Popple, P. R., & Leighninger, L. (2019). The policy-based profession: An introduction to social welfare policy analysis for social workers (7th ed.). Upper Saddle River, NJ: Pearson Education.
Chapter 8, “Mental Health and Substance Abuse” (pp. 161-191)
Humphreys, K., & McLellan, A. T. (2011). A policy-oriented review of strategies for improving the outcomes of services for substance use disorder patients. Addiction, 106(12), 2058–2066.
.
More Related Content
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Initial Psychiatric InterviewSOAP Note Template There are diff.docxLaticiaGrissomzz
Initial Psychiatric Interview/SOAP Note Template
There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting.
Criteria
Clinical Notes
Informed Consent
Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and (Will review additional consent during treatment plan discussion)
Subjective
Verify Patient
Name:
DOB:
Minor:
Accompanied by:
Demographic:
Gender Identifier Note:
CC:
HPI:
Pertinent history in record and from patient: X
During assessment: Patient describes their mood as X and indicated it has gotten worse in TIME.
Patient self-esteem appears fair, no reported feelings of excessive guilt,
no reported anhedonia, does not report sleep disturbance, does not report change in appetite, does not report libido disturbances, does not report change in energy,
no reported changes in concentration or memory.
Patient does not report increased activity, agitation, risk-taking behaviors, pressured speech, or euphoria. Patient does not report excessive fears, worries or panic attacks.
Patient does not report hallucinations, delusions, obsessions or compulsions. Patient’s activity level, attention and concentration were observed to be within normal limits. Patient does not report symptoms of eating disorder. There is no recent weight loss or gain. Patient does not report symptoms of a characterological nature.
SI/ HI/ AV: Patient currently denies suicidal ideation, denies SIBx, denies homicidal ideation, denies violent behavior, denies inappropriate/illegal behaviors.
Allergies: NKDFA.
(medication & food)
Past Medical Hx:
Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.
Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.
Surgical history no surgical history reported
Past Psychiatric Hx:
Previous psychiatric diagnoses: none reported.
Describes stable course of illness.
Previous medication trials: none reported.
Safety concerns:
History of Violence
to Self: none reported
History of Violence t
o Others: none reported
Auditory Hallucinations:
Visual Hallucinations:
Mental health treatment history discussed:
History of outpatient treatment: not reported
Previous psychiatric hospitalizations: not reported
Prior substance abuse treatment: not reported
Trauma history: Client does not report history of trauma including abuse, domestic violence, witnessing disturbing.
Initial Psychiatric Interview/SOAP Note Template
Criteria
Clinical Notes
Informed Consent
Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and (Will review additional consent during treatment plan discussion)
Subjective
Verify Patient
Name: Susan
DOB: not provided
Minor: NA
Accompanied by: self
Demographic: NA
Gender Identifier Note: Female
CC: “I have been feeling anxious, depresssed, high blood pressure, irregular heartbeat, elevated body temperature, crying spells for the last 2 days”
.
HPI: Susan is a midde aged woman who reports to the healthcare clinic reporting several symptoms that she has observed over the period of the last two days. She reports having high blood pressure, an irregular heartbeat, depression, anxiety, and an increase in body temperature. Susan doesn't realize that she shows signs of alcohol dependence and physiological dependence, which downplays the seriousness of her alcohol usage. This diagnosis is supported by the withdrawal symptoms that appear to be becoming more tolerable as well as by the sustained and increased alcohol consumption despite the harm it does to social interactions and job performance. She has also increased her alcohol consumption to ease withdrawal symptoms. s He has a history of drinking, which has caused him to skip work and even get arrested. She downplays her alcohol consumption and justifies how often and how much she drinks.
Pertinent history in record and from patient: Alcohol withdrawal
During assessment: Patient is cam and corparative
Patient seemed to be suffering from serious cases of both anxiety and despair judging from her crying spells.
Patient denies hallucinating. The patient has nomal thought process. .
SI/ HI/ AV: patient denies signs of suicidal ideation and violent behavior.
Allergies: NKDFA.
(medication & food)
Past Medical Hx:
Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.
Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.
Surgical history no surgical history reported
Past Psychiatric Hx:
Previous psychiatric diagnoses: NKDA
Describes stable course of illness.
Previous medication trials: not reported
Safety concerns:
History of Violence
to Self:none reported
History of Violence t
o Others: none reported
Auditory Hallucinations: not reported
Mental health treatment history discussed:
History of outpatient treatment: not reported
Previous psychiatric hospitalizations: not reported
Priorsubstance abuse treatment: not reported
Trauma history: Client reveals no history of traumatic experiences (such as abuse, domestic violence, or exposure .
Week 5 Focused SOAP Note and Patient Case Presentation Cosamirapdcosden
Week 5: Focused SOAP Note and Patient Case Presentation
College of Nursing-PMHNP, Walden University
NRNP 6675: PMHNP Care Across the Lifespan 2 Practicum
Introduction
Psychosis is a mental condition in which a person's ideas and perceptions are disrupted,
and the individual may have difficulty distinguishing between what is real and what is not.
A health condition, medications, or drug usage can all contribute to psychosis. Delusions,
hallucinations, incomprehensible speech, and agitation are all possible signs; the patient has
incorrect beliefs and sees or hears things that others do not see or hear. The person suffering from
the disease is usually unaware of his or her actions. Medication, psychotherapy, peer support,
family support and education, and talk therapy are all options for treatment. More or less every
mental intervention is backed by evidence accumulated during the patient's initial interview; each
patient's therapy begins with a thorough medical and mental health evaluation, the incorporation
of trust, and a discussion of past mental health history, substance misuse history, family mental
health history, and so on. In this example, the patient's evaluation was documented, and a
diagnosis was made based on the information collected from the patient during the evaluation.
When the case was being developed, a therapeutic approach was designed. The patient is a 53-
year-old Caucasian male who was scheduled for an initial screening for a psychotic disorder after
his sister recommended a visit to the psychiatrist because patient's behavior changed since the
mother passed away.
Patient Initial: S.T Age: 53 Gender: Male
Subjective Data:
CC: "I was brought here by my sister because since my mother passed away, I was living on my
own and not bothering anyone. Those people outside my window they are after me. They just
want me dead".
HPI: When patient was asked " what people?". Patient said " the government sent them to get
me because my taxes are high". Suddenly patient asked the provider if she can see the birds or
hear any loud noise. The provider responded by redirecting the patient that she does not hear any
voice or see anything. When the provider how long he is been hearing the voices or seeing
things, patient said " for weeks, weeks and weeks". Patient also said the sister tapped her phone
with the government. When asked about sleep, patient said " I have not slept well because the
voices keep me up for days. I try to watch the TV, they poison my food on TV, I locked
everything down in the fridge". Suddenly patient asked " Can I smoke?". Provider said "no you
can't smoke here". Patient admit that he smokes all day about 3 packs a day. Drinks alcohol
which his sister purchased for him to last him for weeks. Patient denies use of drugs. Admit to
history of marijuana use 3 years ago before the m ...
Initial Psychiatric SOAP Note Template There are different ways.docxLaticiaGrissomzz
Initial Psychiatric SOAP Note Template
There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting.
Criteria
Clinical Notes
Informed Consent
Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and (Will review additional consent during treatment plan discussion)
Subjective
Verify Patient
Name:
DOB:
Minor:
Accompanied by:
Demographic:
Gender Identifier Note:
CC:
HPI:
Pertinent history in record and from patient: X
During assessment: Patient describes their mood as X and indicated it has gotten worse in TIME.
Patient self-esteem appears fair, no reported feelings of excessive guilt,
no reported anhedonia, does not report sleep disturbance, does not report change in appetite, does not report libido disturbances, does not report change in energy,
no reported changes in concentration or memory.
Patient does not report increased activity, agitation, risk-taking behaviors, pressured speech, or euphoria. Patient does not report excessive fears, worries or panic attacks.
Patient does not report hallucinations, delusions, obsessions or compulsions. Patient’s activity level, attention and concentration were observed to be within normal limits. Patient does not report symptoms of eating disorder. There is no recent weight loss or gain. Patient does not report symptoms of a characterological nature.
SI/ HI/ AV: Patient currently denies suicidal ideation, denies SIBx, denies homicidal ideation, denies violent behavior, denies inappropriate/illegal behaviors.
Allergies: NKDFA.
(medication & food)
Past Medical Hx:
Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.
Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.
Surgical history no surgical history reported
Past Psychiatric Hx:
Previous psychiatric diagnoses: none reported.
Describes stable course of illness.
Previous medication trials: none reported.
Safety concerns:
History of Violence
to Self: none reported
History of Violence t
o Others: none reported
Auditory Hallucinations:
Visual Hallucinations:
Mental health treatment history discussed:
History of outpatient treatment: not reported
Previous psychiatric hospitalizations: not reported
Prior substance abuse treatment: not reported
Trauma history: Client does not report history of trauma including abuse, domestic violence, witnessing disturbing events.
.
Comprehensive Client Family Assessment and Genogram The client.docxmccormicknadine86
Comprehensive Client Family Assessment and Genogram
The client is a 24-year-old female, single, African America active duty, service member (SM). SM who resides in the barracks medication, SM MOS is 25U, signal support specialist (IT), SM recently completed basic training and Advanced Individual Training (AIT), before enlisting SM worked as Computer Specialist.
Presenting Problem: I do not know why I am here; I do not need to be here.”
History of Present illness: She appears slightly disheveled, tired, and generally irritable both in the lobby, with nursing staff, and once in the room. She is accompanied by an escort who remains throughout the visit.
Past Psychiatric history: Insomnia.
Medical History: None
Substance use History: denies
Developmental History: She who appears older than stated age, the client is disheveled, with noted body odor
Family Psychiatric history: no familial history
Maternal grandmother marijuana user, paternal grandmother incarcerated no further history. Father Diabetes, Mother HTN, one sister HTN, 1 Brother HTN
Psychosocial History: She states she was homeless before joining the Army National Guard, difficulty to find a job. She wants to go to college for nursing or IT.
History of abuse/Trauma: She reports two episodes of sexual harassment in 2012 in 2013 with no sexual assault but declines to provide more information: no article 15s or negative counseling statements related to her behavior.
Review of Systems:
General: She is alert and oriented x 1 self only B/P 100/60 59, 24, 97.7, 99% room air. Pain 0/10, Weight 153.
HEENT: no discharge intact, moist
Skin: warm and dry
Cardiovascular: no palpitations
Respiratory: no cough or rales or expiratory wheezing was noted neither was any adventitious sounds heard.
GI: No nausea, no vomiting, and no abdominal pain..
Genitourinary: She denies any burning upon urination and dribbling. No obstetrics or gynecology symptoms LMP states 05/01/2019
Neurological: She denies headaches, dizziness, and tingling in all her extremities.
Musculoskeletal: FULL ROM to all extremities
Psychiatric:
Allergies: No known medication/ food allergies
Mental Status Examination
Orientation: Alert and oriented to person
Appearance: in uniform, disheveled, mild body odor
Musculoskeletal: gait and station intact
Behavioral: Irritable/cooperative
Motor activity: appropriate
Speech: pressured, frenzied
Mood: euthymic
Affect: Irritated Restless
Thought content: No suicidal ideation, no homicidal ideation
Perceptions: denies auditory/visual hallucination exaggerated sense of self
Thought Process: illogical and irrational
Attention and Concentration: distracted
Remote and Recent Memory: able to recall the last 5 minutes
Judgment: delayed
Insight and Judgment: fragmented
Differential Diagnosis:
Schizophrenia: a brain disorder that affects how a person reason, feel, and perceive. The hallmark symptom of schizophrenia is psychosis, such as experiencing ...
Initial Psychiatric SOAP Note TemplateThere are different ways i.docxpauline234567
Initial Psychiatric SOAP Note Template
There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting.
Criteria
Clinical Notes
Informed Consent
Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and
(Will review additional consent during treatment plan discussion)
Subjective
Verify Patient
Name:
DOB:
Minor:
Accompanied by:
Demographic:
Gender Identifier Note:
CC:
HPI:
Pertinent history in record and from patient: X
During assessment: Patient describes their mood as X and indicated it has gotten worse in TIME.
Patient self-esteem appears fair, no reported feelings of excessive guilt,
no reported anhedonia, does not report sleep disturbance, does not report change in appetite, does not report libido disturbances, does not report change in energy,
no reported changes in concentration or memory.
Patient does not report increased activity, agitation, risk-taking behaviors, pressured speech, or euphoria. Patient does not report excessive fears, worries or panic attacks.
Patient does not report hallucinations, delusions, obsessions or compulsions. Patient’s activity level, attention and concentration were observed to be within normal limits. Patient does not report symptoms of eating disorder. There is no recent weight loss or gain. Patient does not report symptoms of a characterological nature.
SI/ HI/ AV: Patient currently denies suicidal ideation, denies SIBx, denies homicidal ideation, denies violent behavior, denies inappropriate/illegal behaviors.
Allergies: NKDFA.
(medication & food)
Past Medical Hx:
Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.
Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.
Surgical history no surgical history reported
If Minor obtain Developmental Hx: (most often from parents), in utero, birth and delivery hx, early childhood, school hx, behavior, etc…
Nutritional status (this is an important component to gauge how well the mind and body are being nourished for full function. Ex: lack of iodine create thyroid issues, thyroid issues creates metabolism issues which affects function of cognition, mood, etc…)
Past Psychiatric Hx:
Previous psychiatric diagnoses: none reported.
Describes stable course of illness.
Previous medication trials: none reported.
Safety concerns:
History of Violence
to Self: none reported
History of Violence t
.
NRNP/PRAC 6645 Comprehensive Psychiatric
Evaluation Note Template
INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY
If you are struggling with the format or remembering what to include, follow the
Comprehensive Psychiatric Evaluation Template
AND the Rubric
as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignments. After reviewing full details of the rubric, you can use it as a guide.
In the
Subjective section, provide:
· Chief complaint
· History of present illness (HPI)
· Past psychiatric history
· Medication trials and current medications
· Psychotherapy or previous psychiatric diagnosis
· Pertinent substance use, family psychiatric/substance use, social, and medical history
· Allergies
· ROS
·
Read rating descriptions to see the grading standards!
In the
Objective section, provide:
· Physical exam documentation of systems pertinent to the chief complaint, HPI, and history
· Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.
·
Read rating descriptions to see the grading standards!
In the
Assessment section, provide:
· Results of the mental status examination,
presented in paragraph form.
· At least three differentials with supporting evidence. List them from top priority to least priority. Compare the
DSM-5 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.
·
Read rating descriptions to see the grading standards!
Reflect on this case. Include 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!), 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.).
(The comprehensive evaluation is typically the
initial new patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for all illnesses which could be impacting your patient. For example, anxiety sympt.
Identifying and Treating Individuals and Families Experiencing Early and Acut...Sarah Amani
The main objective of this online workshop was to raise awareness about symptoms of psychosis and how to support individuals and families experiencing prodrome, early and acute psychosis in different settings ranging from primary care, community mental health and acute hospital
Depression is a common illness worldwide, with an estimated 3.8% of the population affected, including 5.0% among adults and 5.7% among adults older than 60 years.
Name Case Study Title Briefly What happened Provi.docxpauline234567
Name:
Case Study Title:
Briefly What happened? Provide the article title, URL and a one sentence summary of the case.
Key Stakeholders and how were they negatively impacted: [This does not need to be a complete list, just several major stakeholders (not stockholders, though the stockholders may be stakeholders). Briefly explain the relationship with the company – why they are stakeholders
What was the final outcome? [prison, fines, termination, and for how many individuals]
Describe why you feel the actions were morally wrong? [Be sure to use keywords describing your moral base (consequentialist, care, duty, act utilitarian, prima facie duties, etc.) and why your compass would justify classifying the action as morally wrong. Alternatively, discuss why you may feel the action was morally acceptable.]
Put yourself in a position of leadership and describe what you would put in place that would have prevented this in the first place or keep it from happening again. Or, alternatively what rules would you implement to justify the action:
NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template
Assignment Instructions:
Answer with minumun 2 paragraphs each the following questions based in the bellow clinical case:
1. What other additional differential diagnosis is applicable based on the presention symptoms? explain
2. What additional history is required to confirm the diagnosis?
3. What other medications would be applicable in her situation?
** At least 2 references per question**
Subjective
CC (chief complaint): “I need help, I feel empty and overwhelmed by sadness”.
HPI: Client MM is a 33-year-old Caucasian female who was referred from the women center after she lost a term pregnancy of twins 13 months ago. She presented for a psychiatric evaluation with her husband in attendance. They both looked very sad. She reported that the reason for referral was because she was very depressed after losing her pregnancy and was having suicidal thoughts. She was started on Zoloft 50 mg pod once a day at the women center. She currently denies any suicidal or homicidal ideation. She is feeling intense sadness. Admits to having rumination thoughts. She is still grieving the loss of her pregnancy. Admits that she has not been able to get back to work after the burying her babies remain. She said she has lost interest in doing things she enjoys doing. Admits to have lost her appetite and is skipping meals. She has poor memory and concentration. Denies any distractibility. She has poor sleep, sleeps 4 to 5 hours per night. Patient endorse hopelessness, helplessness and worthlessness, however, she said she is not suicidal at this time. Reports to be anxious. Admits to racing thoughts and mood swing. Admits to nightmares. Denies paranoia, delusions and hallucination. PHQ-9 score 24.
Past psychiatric history: Denies any previous psychiatric history.
Social histor.
Similar to The AssignmentAssign DSM-5 and ICD-10 codes to service.docx (20)
The Assignment consists of 3 Parts.Part I Journal 200 words s.docxrtodd17
The Assignment consists of 3 Parts.
Part I Journal 200 words single Sheet NO CITATION NEEDED.
Part II Essay 1 page. APA Style Citation required (Case Attached )
Part III PowerPoint 7 slides plus Front page and references Total 9 slides minimum
.
The assignment consists of a Discussion that should be at least .docxrtodd17
The assignment consists of a Discussion that should be at least 500 words and 2-4 page paper. Below are the Resources that can be used. Attached are the 2 DIFFERENT assignments.
Resources
Beerma, D. (2012). Advocacy handbook for social workers. National Association of Social Workers – North Carolina Chapter. Retrieved fromhttp://c.ymcdn.com/sites/naswnc.site-ym.com/resource/resmgr/Advocacy/Advocacyhandbook.pdf
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014). Social work case studies: Foundation year. Baltimore: MD: Laureate International Universities Publishing. [Vital Source e-reader].
"Working with Clients with Dual Diagnosis: The Case of Joe" (pp. 77–78)
Popple, P. R., & Leighninger, L. (2019). The policy-based profession: An introduction to social welfare policy analysis for social workers (7th ed.). Upper Saddle River, NJ: Pearson Education.
Chapter 8, “Mental Health and Substance Abuse” (pp. 161-191)
Humphreys, K., & McLellan, A. T. (2011). A policy-oriented review of strategies for improving the outcomes of services for substance use disorder patients. Addiction, 106(12), 2058–2066.
.
The Assignment (minimum 2–3 pages)Create an annotated bib.docxrtodd17
The Assignment (minimum 2–3 pages):
Create an annotated bibliography that includes five resources related to your social change issue. Be sure to use proper APA formatting.
Explain why the resources you selected are most relevant to your social change issue.
.
The assignment (3–5 pages)Briefly describe the specific cultu.docxrtodd17
The assignment (3–5 pages):
Briefly describe the specific culture you selected, focusing on the gender roles of both males and the females.
Compare (similarities and differences) the gender roles in the culture you selected with the gender roles in your own culture. Use clear, concrete examples to make your comparisons.
Apply one of the following theories to explain the development of the male and the female role in each of the two cultures (your own and the culture you selected). Use clear, concrete examples to illustrate your points.
Discuss development of gender roles in at least three different areas of life (e.g., family, work, community, etc.)
Select your theory from the following:
Social Learning Theory
Cognitive Developmental Theory
Gender Schema Theory
Gender Script Theory
Finally, summarize your thoughts about how well your selected gender development theory explains gender development and why.
.
The Assignment (3–4 pages)For this Assignment, perform the .docxrtodd17
The Assignment (3–4 pages):
For this Assignment, perform the following:
Identify and describe the core values of the agency.
Discuss the degree to which those core values are aligned with advocacy, leadership, or social change.
State how those core values contribute to the well-being of individuals, groups, societies, or international communities.
Identify and describe the mission of the agency, organization, or community.
Evaluate whether the mission statement is aligned with the core values of the agency, organization, etc.
Describe whether the mission statement promotes advocacy, leadership, or social change.
Discuss whether the mission statement provides evidence of how the agency/organization contributes to the well-being of individuals, groups, societies, or international communities.
Identify and describe the vision of the agency.
Evaluate whether the vision is aligned with the core values of the agency, organization, etc.
Describe whether the vision promotes advocacy, leadership, or social change.
Discuss whether the vision provides evidence of how the agency/organization contributes to the well-being of individuals, groups, societies, or international communities.
Identify and describe key stakeholders involved with the agency.
Discuss whether each stakeholder is internal or external to the agency/organization.
Describe the role each stakeholder has in the organization (i.e., leadership, management, staff, recipient of services, etc.).
Discuss how each stakeholder can be an essential element for gathering information to develop the strategic plan.
.
The Assignment (1-page) The Reading to use for both paragraphs is.docxrtodd17
The Assignment (1-page): The Reading to use for both paragraphs is under the following paragraph.
Write a short paragraph that would be considered an opinion. Write a second paragraph that would be considered a fact. Explain the differences between the two paragraphs. Explain how a reader would know if one statement is opinion and the other factual. Provide support in the research literature for the factual statement.
Study Notes What Is Critical Thinking?
By the Walden University Writing Center Staff
Critical reading and critical thinking are intertwined; one cannot quite do one without the other. Kurland (2000) noted that critical reading is about discovering information whereas critical thinking is about evaluating it. Various authors have offered different definitions of the critical-thinking process. Among the most useful definitions is the one provided by Scriven and Paul, who defined it as:
the intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and/or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning, or communication, as a guide to belief and action. In its exemplary form, it is based on universal intellectual values that transcend subject matter divisions: clarity, accuracy, precision, consistency, relevance, sound evidence, good reasons, depth, breadth, and fairness. (1987, para. 1)
Another useful definition was provided by Elder (as cited in Critical Thinking Community, 2013), who defined it as “self-directed, self-disciplined, self-monitored, and self-corrective thinking. It requires rigorous standards of excellence and mindful command of their use. It entails effective communication and problem-solving abilities and a commitment to overcoming our native egocentrism and sociocentrism” (para. 4). Because graduate students are moving beyond being simply consumers of knowledge to learning how to make meaningful contributions to that knowledge, it is particularly important that they cultivate strong critical-thinking skills.
Like critical reading, critical thinking is an active process, and with practice one can develop the skills needed to do it more effectively. According to Kurland (2000), there are six key characteristics of critical thinking: rationality, self-awareness, honesty, open-mindedness, discipline, and judgment. Rationality has to do with exercising good judgment based on logic, self-awareness with knowing one’s individuality, biases, and so forth; honesty has to do with integrity and being able to be truthful about one’s biases; open-mindedness is about being able to appreciate differing viewpoints; discipline is about being self-controlled and being objective; and judgment is about being able to form an opinion about something based on the information presented. Each of these characteristics can be develop.
The Assignment (3–4 pages)Based on the theory demonstrated i.docxrtodd17
The Assignment (3–4 pages)
Based on the theory demonstrated in one of the humanistic/experiential media resources:
Define the problem.
Formulate a theory-based treatment plan including short-term and long-term goals for the couple or family.
Describe two theory-based interventions you would use and justify your selection.
Explain one anticipated outcome of each.
Based on the theory demonstrated in the emotionally-focused media:
Define the problem.
Design a theory-based treatment plan including short- and long-term goals for the couple or family.
Describe two theory-based interventions you would use and justify your selection.
Explain one anticipated outcome of each.
.
The Assignment (3–4 pages)Describe the concerns held by both .docxrtodd17
The Assignment (3–4 pages):
Describe the concerns held by both adoptive parents and adopted children in transracial families.
What other concerns would you add that were not discussed and why?
Explain how the concerns you discussed in the first two questions relate to the concept of double consciousness.
Discuss the advantages and disadvantages of race and ethnicity covering and passing.
Address how covering and passing can be used to both cause and resolve identity conflicts for both transracial adoptees and in general.
.
The assessment portion of the nursing process is where the nurse.docxrtodd17
The assessment portion of the nursing process is where the nurse will collect data about the patient. This information will encompass physical findings, psychological, cultural, social, family, and nursing histories as well as accessing the medical record and obtaining diagnostic test results. A nurse should not implement interventions until a complete assessment has been done. Discuss.
Students will post to initial discussion before Wednesday January 13, 2021 @ 11:59 pm
Note: APA 7th edition is required.
Not less than 250 words
.
The assignment (3 – 4 pages)Analyze the history of the profession.docxrtodd17
The assignment: (3 – 4 pages)
Analyze the history of the professional ethics or code of conduct within your area of interest in human services. Briefly describe:
Who developed it
Where it originated
How it evolved
What major changes/additions were made
Explain how the professional ethics or codes of conduct are enforced. Briefly describe:
Who or what groups enforce them
What processes/procedures are used to enforce and resolve disputes or violations
What consequences exist as a result of violations
.
The Assignment (2–4 pages)Provide a transcript of what happen.docxrtodd17
The Assignment (2–4 pages):
Provide a transcript of what happened during your field education experience, including a dialogue of interaction with a client.
Explain your interpretation of what occurred in the dialogue, including social work practice theories, and explain how it might relate to diversity or cultural competence covered this week.
Describe your reactions and/or any issues related to your interaction with a client during your field education experience.
Explain how you applied social work practice skills when performing the activities during your process recording.
.
The articles about the 2011 horn of Africa famine note several dif.docxrtodd17
The articles about the 2011 horn of Africa famine note several different causal factors underlying this famine. So I'd like you to think about the fact that there are so many causes here. One task would be to list the causes referred to in the article. I’m going to do this one for you. Here is a list I've made, in part on the basis of another article (so you might not find each of these explicitly in the Mother Jones article). Once you have this list in mind, you may be able to think of others.
· Causes
· drought,
· leading to reduced food production
· Rising food prices
· Internal conflict between warring factions
· Poverty
· Lack of basic infrastructure and governance
· Climate change
· Other causes, sometimes said to be things the famine is blamed on
· US invasion of Somalia in December 1992
· Failure of donor countries to invest properly
· Committing < $200 million when $1 billion needed
· Al-Shabaab militia expelling WFP and other aid agencies
Notice that there is another distinction to be made: within the list, I’ve listed some of them separately as having to do (according to the article) with blame, not just cause. We can think about that later.
But now here’s what I want you to do for the exercise/discussion post:
a. First, say which of these factors you take to be the most “important”, and say why. (It would be great if you could pick just one and say why that's most important, but one problem here is that there are a number of things that can be meant by 'important'.) [about 100 words], AND
b. Second, draw a picture of how you see these different causal factors going together into an overall causal story or picture (which factors cause which other ones, etc.). [I’m assuming you have some way to create a picture that you can attach to your post (if only by drawing a picture in the real world and taking a picture of it with your phone); but if not, describe this as best you can with words.] Then comment on what insights you can get from having done this.
.
The Assignment (2–4 pages)Discuss something important you lea.docxrtodd17
The Assignment (2–4 pages):
Discuss something important you learned about yourself and how you learned it through introspection or through self-perception.
Do you have an interdependent view of yourself, an independent view of yourself, or both? What is your culture(s), and how does your culture(s) contribute to this view? Provide
one
example of how this view influences your behavior or your beliefs. Your example may include, but is not limited to: (a) how your interdependent or independent self-view influences what kinds of things make you feel especially proud, (b) how your interdependent or independent self-view influences what kinds of things make you feel especially embarrassed, and (c) how your interdependent or independent self-view influences the way you interact with others.
Then, select one specific aspect of your life, such as your role as a student, a spouse, a parent, an employee, or some other role, and apply the social comparison theory to this role.
Briefly discuss a time you engaged in
one
of the following types of self-justification: Justification of effort, external justification, internal justification, or justification of a good deed. What was the source of your cognitive dissonance and how did this self-justification reduce that dissonance?
.
The Assignment (2–3 pages)Your submission should include the.docxrtodd17
The Assignment (2–3 pages)
Your submission should include the following:
An explanation of how a correctional institution’s culture (e.g., norms, unwritten rules, customs, traditions) can influence the creation of ethical and potentially unethical policies and practices, and how those practices might impact inmates
A description of a specific policy or practice that you think presents an ethical dilemma in corrections, and an explanation of how that specific policy or practice creates the dilemma
An explanation of what steps corrections officials might take to maintain ethical conduct within a correctional facility
.
The assignment (2–3 pages)Explain the similarities and .docxrtodd17
The assignment: (2
–
3 pages)
Explain the similarities and differences between vicarious trauma and burnout.
Explain the similarities and differences between vicarious trauma and counter-transference.
Explain two implications vicarious trauma might have on the counseling process. Be specific.
Explain one insight you had or conclusion you drew for each comparison. Be specific.
.
The assignment (2–3 pages)Identify the human services adminis.docxrtodd17
The assignment (2–3 pages):
Identify the human services administrator and briefly share one example of how he or she provided transparency and accountability for his or her organization.
Explain three steps that you, as a human services administrator, can take to provide transparency and accountability to the public for an organization with which you are associated or one with which you are familiar.
Share an insight you had regarding any differences in the way that you might provide transparency and accountability in comparison to the human services administrator you selected from this week’s video.
Laureate Education (Producer). (2011).
Symbolic framework: Transparency and the public trust
[Video file]. Baltimore, MD: Author.
.
The Assignment (2–3 pages)Based on the program or policy ev.docxrtodd17
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
Describe the healthcare program or policy outcomes.
How was the success of the program or policy measured?
How many people were reached by the program or policy selected?
How much of an impact was realized with the program or policy selected?
At what point in program implementation was the program or policy evaluation conducted?
What data was used to conduct the program or policy evaluation?
What specific information on unintended consequences was identified?
What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
Did the program or policy meet the original intent and objectives? Why or why not?
Would you recommend implementing this program or policy in your place of work? Why or why not?
Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
.
The Assignment (2–3 pages)Explain the effects of sexual tra.docxrtodd17
The Assignment (2–3 pages):
Explain the effects of sexual trauma on Sandra.
Describe two specific interventions you might use to help Sandra deal with those effects.
Explain any cultural, ethical, and legal issues related to Sandra’s treatment.
Explain what might be different in the effects of the trauma and the interventions you might select if Sandra had been a male.
.
The article must be current to Law Enforcement or other Criminal.docxrtodd17
The article must be current to Law Enforcement or other Criminal Justice System issues.
One or two student(s) will be assigned a current event article to present via the following guidance:
1. You must attach the article, as well, complete a 1-page, 2-3 paragraph paper.
2. The 1-page paper must be typed, 1.5” paragraph spacing, Times New Roman, 12 font, 1” margins.
3. The paper should include an Intro, main points and counterpoints, summary and your personal thoughts.
.
The assigment is overdue now. I will up the price I am willing to pa.docxrtodd17
The assigment is overdue now. I will up the price I am willing to pay to have it done. It must be completed by the latest on the 8th. However I would greatly preffer for it to be finished on the 7th. I will add $20 to the price if you can complete it by then.
I need the files to run in Eclipse. Please upload them as such. See my file as an example.
They must be coded in java.
This is for a 200 level data structures class so please match that level accordingly.
I need java Test cases and comments please. (see my example file)
I have included part of the previous assigment so you can see what mine looks like and it also may have things you may need like map etc. Though I cannot guarantee all of it is working properly. (named example)
-----
The Task
Okay, we are finally going to finish off the Huffman application. Last week, we got to the point where we could build the tree and do some simple encoding and decoding. The problem with our technique is that we were converting text into Strings of 0s and 1s. Hopefully, the vast majority realized that this is the opposite of actual compression. Our goal was to
reduce
the number of bits required to encode a character. Instead, we blew it up, replacing one character with a whole String of them! Ouch.
So, we are going to do some bit level work, and learn how to write binary data out to files and read it back in again. The second issue that we have is that once we have an encoded file, we don't have a good way to decode it without first having the original source file, which rather defeats the purpose of compressing the file in the first place. Thus, we need to store a copy of the tree in the coded file. Of course, we want to store the tree in a format we can read back out again, and also doesn't take up too much room...
Background: Canonical form
We would like our Huffman codes to be
canonical
. I gave you an algorithm for picking which character to add next to your Huffman tree that comes close to producing canonical codes, but, sadly, I have to admit it has a flaw. There is an edge case that it can never compensate for. So, we are going to have to do some more work to get it into the canonical form.
The canonical form adds two rules to the way Huffman codes work. First, all codes of a given bit length have lexicographically consecutive values (i.e., not just in order, but immediately consecutive), in the same order as the symbols they represent, and second, shorter codes lexicographically precede longer ones. An example will make this a little clearer...
Suppose we have some piece of text in which the characters A,B,C,and D appear, with the following frequencies [A:1, B:5, C:6, D:2]. We could put these into a Huffman tree and come out with the following codes:
A
001
B
01
C
1
D
000
This is not in canonical form. The first rule is broken because A comes before D, but 000 should precede 001. The second rule is broken because C had a shorter code than B, but 01 precedes 1 lexicographically. Here.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
How to Split Bills in the Odoo 17 POS ModuleCeline George
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The AssignmentAssign DSM-5 and ICD-10 codes to service.docx
1. The Assignment
Assign
DSM-5
and ICD-10 codes to services based upon the patient case
scenario.
Then, in 1–2 pages address the following. You may add your
narrative answers to these questions to the bottom of the case
scenario document and submit altogether as one document.
Explain what pertinent information, generally, is required in
documentation to support
DSM-5
and ICD-10 coding.
Explain what pertinent documentation is missing from the case
scenario, and what other information would be helpful to narrow
your coding and billing options.
Finally, explain how to improve documentation to support
coding and billing for maximum reimbursement.
Instructions
2. Use the following case template to complete Week 2
Assignment 1. On page 5, assign
DSM-5
and ICD-10 codes to the services documented. You will add
your narrative answers to the assignment questions to the
bottom of this template and submit altogether as one
document.
Identifying Information
Identification was verified by stating of their name and date
of birth.
Time spent for evaluation: 0900am-0957am
Chief Complaint
“My other provider retired. I don’t think I’m doing so well.”
HPI
3. 25 yo Russian female evaluated for psychiatric evaluation
referred from her retiring practitioner for PTSD, ADHD,
Stimulant Use Disorder, in remission. She is currently
prescribed fluoxetine 20mg po daily for PTSD, atomoxetine
80mg po daily for ADHD.
Today, client denied symptoms of depression, denied anergia,
anhedonia, amotivation, no anxiety, denied frequent worry,
reports feeling restlessness, no reported panic symptoms, no
reported obsessive/compulsive behaviors. Client denies
active SI/HI ideations, plans or intent. There is no evidence
of psychosis or delusional thinking. Client denied past episodes
of hypomania, hyperactivity, erratic/excessive spending,
involvement in dangerous activities, self-inflated ego,
grandiosity, or promiscuity. Client reports increased
irritability and easily frustrated, loses things easily, makes
mistakes, hard time focusing and concentrating, affecting her
job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs
reports nightmares of previous rape, isolates, fearful to go
outside, has missed several days of work, appetite decreased.
She has somatic concerns with GI upset and headaches.
Client denied any current binging/purging behaviors, denied
withholding food from self or engaging in anorexic
behaviors. No self-mutilation behaviors.
Diagnostic Screening Results
Screen of symptoms in the past 2 weeks:
PHQ 9 = 0 with symptoms rated as no difficulty in
4. functioning
Interpretation of Total Score
Total Score Depression Severity 1-4 Minimal depression 5-9
Mild depression 10-14 Moderate depression 15-19
Moderately severe depression 20-27 Severe depression
GAD 7 = 2 with symptoms rated as no difficulty in
functioning
Interpreting the Total Score:
Total Score Interpretation ≥10 Possible diagnosis of GAD;
confirm by further evaluation 5 Mild Anxiety 10 Moderate
anxiety 15 Severe anxiety
MDQ screen negative
PCL-5 Screen 32
Past Psychiatric and Substance Use Treatment
· Entered mental health system when she was age 19 after
raped by a stranger during a house burglary.
· Previous Psychiatric Hospitalizations: denied
· Previous Detox/Residential treatments: one for abuse of
5. stimulants and cocaine in 2015
· Previous psychotropic medication trials: sertraline (became
suicidal), trazodone (worsened nightmares), bupropion
(became suicidal), Adderall (began abusing)
· Previous mental health diagnosis per client/medical record:
GAD, Unspecified Trauma, PTSD, Stimulant use disorder,
ADHD confirmed by school records
Substance Use History
Have you used/abused any of the following (include
frequency/amt/last use):
Substance
Y/N
Frequency/Last Use
Tobacco products
6. Y
½
ETOH
Y
last drink 2 weeks ago, reports drinks 1-2 times monthly
one drink socially
Cannabis
N
Cocaine
Y
last use 2015
9. · DUI: -
· D/T's: -
· Seizures: -
Longest sobriety reported since 2015—stayed sober
maintaining sponsor, sober friends, and meetings
Psychosocial History
Client was raised by adoptive parents since age 6; from
Russian orphanage. She has unknown siblings. She is single;
has no children.
Employed at local tanning bed salon
Education: High School Diploma
Denied current legal issues.
Suicide / HOmicide Risk Assessment
RISK FACTORS FOR SUICIDE:
· Suicidal Ideas or plans - no
· Suicide gestures in past - no
10. · Psychiatric diagnosis - yes
· Physical Illness (chronic, medical) - no
· Childhood trauma - yes
· Cognition not intact - no
· Support system - yes
· Unemployment - no
· Stressful life events - yes
· Physical abuse - yes
· Sexual abuse - yes
· Family history of suicide - unknown
· Family history of mental illness - unknown
· Hopelessness - no
· Gender - female
· Marital status - single
· White race
· Access to means
· Substance abuse - in remission
PROTECTIVE FACTORS FOR SUICIDE:
11. · Absence of psychosis - yes
· Access to adequate health care - yes
· Advice & help seeking - yes
· Resourcefulness/Survival skills - yes
· Children - no
· Sense of responsibility - yes
· Pregnancy - no; last menses one week ago, has Norplant
· Spirituality - yes
· Life satisfaction - “fair amount”
· Positive coping skills - yes
· Positive social support - yes
· Positive therapeutic relationship - yes
· Future oriented - yes
Suicide Inquiry: Denies active suicidal ideations, intentions,
or plans. Denies recent self-harm behavior. Talks
futuristically. Denied history of suicidal/homicidal
ideation/gestures; denied history of self-mutilation behaviors
Global Suicide Risk Assessment: The client is found to be at
low risk of suicide or violence, however, risk of lethality
increased under context of drugs/alcohol.
12. No required SAFETY PLAN related to low risk
Mental Status Examination
She is a 25 yo Russian female who looks her stated age. She
is cooperative with examiner. She is neatly groomed and
clean, dressed appropriately. There is mild psychomotor
restlessness. Her speech is clear, coherent, normal in volume
and tone, has strong cultural accent. Her thought process is
ruminative. There is no evidence of looseness of association
or flight of ideas. Her mood is anxious, mildly irritable, and
her affect appropriate to her mood. She was smiling at times
in an appropriate manner. She denies any auditory or visual
hallucinations. There is no evidence of any delusional thinking.
She denies any current suicidal or homicidal ideation.
Cognitively, She is alert and oriented to all spheres. Her
recent and remote memory is intact. Her concentration is fair.
Her insight is good.
Clinical Impression
Client is a 25 yo Russian female who presents with history of
treatment for PTSD, ADHD, Stimulant use Disorder, in
remission.
Moods are anxious and irritable. She has ongoing reported
symptoms of re-experiencing, avoidance, and hyperarousal of
her past trauma experiences; ongoing subsyndromal
13. symptoms related to her past ADHD diagnosis and
exacerbated by her PTSD diagnosis. She denied vegetative
symptoms of depression, no evident mania/hypomania, no
psychosis, denied anxiety symptoms. Denied current cravings
for drugs/alcohol, exhibits no withdrawal symptoms, has
somatic concerns of GI upset and headaches.
At the time of disposition, the client adamantly denies SI/HI
ideations, plans or intent and has the ability to determine
right from wrong, and can anticipate the potential
consequences of behaviors and actions. She is a low risk for
self-harm based on her current clinical presentation and her
risk and protective factors.
Diagnostic Impression
[Student to provide DSM-5 and ICD-10 coding]
Double click inside this text box to add/edit text. Delete
placeholder text when you add your answers.
Treatment Plan
1) Medication:
· Increase fluoxetine 40mg po daily for PTSD #30 1 RF
· Continue with atomoxetine 80mg po daily for ADHD. #30 1
14. RF
Instructed to call and report any adverse reactions.
Future Plan: monitor for decrease re-experiencing,
hyperarousal, and avoidance symptoms; monitor for
improved concentration, less mistakes, less forgetful
2) Education: Risks and benefits of medications are discussed
including non-treatment. Potential side effects of medications
discussed. Verbal informed consent obtained.
Not to drive or operate dangerous machinery if feeling
sedated.
Not to stop medication abruptly without discussing with
providers.
Discussed risks of mixing medications with OTC drugs,
herbal, alcohol/illegal drugs. Instructed to avoid this
practice. Praised and Encouraged ongoing abstinence.
Maintain support system, sponsors, and meetings.
Discussed how drugs/ETOH affects mental health, physical
health, sleep architecture.
3) Patient was educated about therapy and services of the
MHC including emergent care. Referral was sent via email to
therapy team for PET treatment.
15. 4) Patient has emergency numbers: Emergency Services 911,
the national Crisis Line 800-273-TALK, the MHC Crisis Clinic.
Patient was instructed to go to nearest ER or call 911 if they
become actively suicidal and/or homicidal.
5) Time allowed for questions and answers provided.
Provided supportive listening. Patient appeared to understand
discussion and appears to have capacity for decision making
via verbal conversation.
6) RTC in 30 days
7) Follow up with PCP for GI upset and headaches, reviewed
PCP history and physical dated one week ago and include lab
results
Patient is amenable with this plan and agrees to follow
treatment regimen as discussed.
Narrative Answers
[In 1-2 pages, address the following:
· Explain what pertinent information, generally, is required in
documentation to support DSM-5 and ICD-10 coding.
· Explain what pertinent documentation is missing from the
16. case scenario, and what other information would be helpful to
narrow your coding and billing options.
· Finally, explain how to improve documentation to support
coding and billing for maximum reimbursement.]
Add your answers here. Delete instructions and placeholder
text when you add your answers.