[2023] Darron is a 68-year-old white widower and retired accountant. He was referred for psychosocial evaluation at the diabetes clinic after an emergency room (ER) visit to a local hospital
Darron is a 68-year-old white widower and retired accountant. He was referred for psychosocial evaluation at the diabetes clinic after an emergency room (ER) visit to a local hospital Darron is a 68-year-old white widower and retired accountant Case Study: Complex Psychiatric/Medical Adult/Geriatric Patient Use the template to complete a Psychiatric Initial Assessment on the patient based on the Case Study information. Then complete a plan of care. Lastly, include answers to the questions listed at the bottom of your completed psychiatric initial assessment template. To view the Grading Rubric for this assignment, please visit the Grading Rubrics section of the Course Resources. Submit your assignment to the unit Dropbox before midnight on the last day of the unit. Case Presentation Darron is a 68-year-old white widower and retired accountant. He was referred for psychosocial evaluation at the diabetes clinic after an emergency room (ER) visit to a local hospital. He arrived at the ER with confusion and a severe hypoglycemic episode after taking an overdose of insulin. He denied suicidal intent or alcohol abuse and claimed to have mistakenly taken insulin lispro rather than his insulin glargine dose. The ER staff was suspicious about his claim because there had been eight similar ER visits for severe hypoglycemia within the last two years. He explained these previous events as a result of mixing up the types of insulin he injected. After psychiatric assessment he was not judged to be a suicidal risk. He was discharged after his blood glucose levels stabilized, and he promised to pursue outpatient mental health treatment. His hemoglobin A1c (A1C) at the time was 7.9% – his lowest on record for several years. Generally, his blood glucose levels displayed wide swings. He explained that high blood glucose levels made him feel more apathetic about eating and depressed about his diabetes self-management. Personal history As a child, Darron attained developmental milestones at expected times. His father was in the Army, and as a result, Darron had moved 32 times before he graduated from high school. He was an excellent student throughout high school but only managed mediocre grades in college because of family conflict. He dropped out of college in his junior year and moved to a South Pacific island for one year. After returning to the United States, he earned an undergraduate degree in English and then a second degree in accounting. After graduation, he married and worked for 20 years as an accountant in a group practice. Later, Darron started his own accounting firm, but he had difficulty keeping organized and recalls being constantly late for business meetings and failing to complete projects on time. In hindsight, Darron believes that he has struggled with depression on and off for > 30 years. He first recalls feeling depressed after his diagnosis with diabetes 36 years ago. He felt more depressed after he lost his 47-year-old sister to colon cancer in 1988, and then his 74-year-old father died from heart disease in 1991. But, he says his life “really fell apart” when his 54-year-old wife died from lung cancer in 1995. He contemplated suicide for three months but never acted. During this desperate period, he marginally functioned, lost many business clients, and was forced to close his company. Overwhelmed by depression, he moved to the West Coast to live with his mother and worked at unskilled jobs. Diabetes complicated his emotional struggles, with blood glucose control fluctuating wildly and ranging from episodes of ketoacidosis that required hospitalization to severe hypoglycemic events that resulted in car crashes. Depression complicated his diabetes management, and after a hypoglycemia-related auto accident in which he ran over several pedestrians, he decided to stop working and was approved for social security because of psychiatric disability. He came to the East Coast in 1998 to briefly visit his younger brother and decided to stay. Although he still lives near his brother, he says they have had only sporadic contact since a falling out after Darron “passed out” during a severe hypoglycemic episode. In 2010, Darron got engaged, but his fiancée left him to marry the father of her child. He says he felt devastated by the loss of yet another woman who had “become everything” to him. Since then, he has withdrawn socially and does not leave his apartment unless it is necessary. He has trouble managing his money, keeping his apartment neat and orderly, taking medications on time, and maintaining any structure in his day. Medical history Darron punctually arrives at the correct hour but often on the wrong day for his medical appointments. He grapples with neuropathy, retinopathy, and unpredictable blood glucose levels. He monitors his blood glucose levels 8–12 times/day and tries to be careful about what he eats. He also has sleep apnea, and his sleep patterns are highly erratic. He frequently does not fall asleep until 4:00 a.m. and then may only be able to sleep for 2 hours. Often, he will then nap for several hours in the afternoon. He began continuous positive airway pressure treatment for his sleep problems in 2003 but did not tolerate treatment. He has switched to bilevel positive airway pressure (biPAP) within the last 18 months but only tolerates it for up to 3 hours each night. Additional diagnoses include hyperlipidemia, hypertension, atrial fibrillation, Meniere’s disease, tinnitus, and arthritis. His medication list includes atorvastatin, lisinopril, hydrochlorothiazide, warfarin, meclizine, and folic acid. He does not smoke and only rarely drinks alcohol. Only his paternal grandmother had diabetes. Psychiatric history Depression has plagued Darron since his diagnosis with diabetes. As noted earlier, his depression intensified after the deaths of his sister and father, but he did not descend into a suicidal mood until his wife died 10 years ago. Four years ago, he underwent electroconvulsive therapy (ECT), and although he continues to have occasional suicidal ideation, he has not made an attempt and has had no further psychiatric admissions. Both of his parents, his brother, and his sister suffered from depression. A maternal aunt suffered
[2023] Select a pediatric/adolescent client or case that you have worked within either in your current nursing practice or your PMHNP student clinical setting
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This should include the following: A full psychiatric, physical, social, family, and birth and developmental history including verbal reports of the client, your observations of the client, and a summary of any diagnostic aids that you have used. The use of at least one psychiatric screening or assessment tool from the literature to assist in your assessment of the client A full physical assessment in addition to the mental status exam and psychiatric history Develop a DSM-5 diagnostic assessment: Support your diagnosis through a thoughtful, evidence-based rationale of the data collected in your evaluation. Propose a practical, evidence-based plan of care: Keep in mind the role of the psychiatric-mental health nurse practitioner is to assess all aspects of the patient’s health status, including health promotion, and disease prevention. Psychiatric care is interdisciplinary. Your plan of care may include the use of other mental health professionals for the delivery of appropriate care. For example, someone who has been chronically back pain, and has been out of work may have these factors contributing to his or her depression and may require a pain specialist and social services to address those aspects of the client’s poor psychological functioning. Requirements Support your assessment, diagnosis, and treatment and management plan with appropriate literature citations. The paper should be no more than ten pages in length, not including a title page and references. Use current APA formatting and citations. Acronyms should not be used. The assessment must be well written and be of professional quality. It must be clear, and well developed, free of spelling, grammatical, and syntactical errors and in full sentences format. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Answered Questions: ANSWERED!! Assume you are a nurse manager on a unit ANSWERED!! Watch the Diary of Medical Mission Trip ANSWERED!! Re-read Take a Closer Look: Exploring Claude ANSWERED!! Develop and submit a personal leadership ANSWERED!! Develop and submit a personal leadership adolescent assessment pdf, child mental health assessment questionnaire pdf, child and adolescent assessment, adolescent assessment tools explain why a thorough psychiatric assessment of a childadolescent is important, child mental health assessment tools, which client situation may benefit from the nurse issuing a contract regarding the plan of care Adolescent Assessment Tools: Unlocking Insights for Better Understanding Introduction Adolescence is a crucial phase of development, marked by significant physical, emotional, and cognitive changes. Understanding the unique needs and challenges of adolescents requires effective assessment tools that provide valuable insights. This article explores various adolescent assessment tools, their importance, types, benefits, limitations, and ethical considerations. Additionally, it delves into best practices for utilizing these tools and highlights future trends in the field. By embracing adolescent assessment tools, professionals can gain deeper insights and support adolescents’ holistic development. Understanding Adolescent Assessment Tools Adolescent assessment tools encompass a range of instruments, techniques, and approaches used to evaluate various aspects of an adolescent’s life. These tools aid in comprehending their psychological, behavioral, academic, and social dimensions, contributing to a holistic understanding of their well-being. Importance of Adolescent Assessment Accurate assessment is vital in identifying the unique needs, strengths, and challenges faced by adolescents. By utilizing assessment tools, professionals can tailor interventions and support systems to address these specific requirements effectively. Moreover, assessments provide a benchmark for tracking progress, measuring outcomes, and ensuring that appropriate interventions are implemented. Types of Adolescent Assessment Tools Psychological Assessment Tools Psychological assessment tools help evaluate an adolescent’s cognitive abilities, emotional well-being, and mental health. These tools include standardized tests, questionnaires, and interviews conducted by qualified professionals to assess intelligence, personality traits, emotional functioning, and mental health conditions. Behavioral Assessment Tools Behavioral assessment tools focus on observing and analyzing an adolescent’s behavior in various settings. These tools help identify behavioral patterns, triggers, and responses, enabling professionals to design behavior modification strategies, interventions, and support plans. Academic Assessment Tools Academic assessment tools assess an adolescent’s educational progress, learning style, and academic performance. These tools include tests, quizzes, assignments, and educational assessments to gauge their knowledge, skills, and comprehension in different subjects. Social Assessment Tools Social assessment tools examine an adolescent’s social interactions, relationships, and social-emotional development. They may involve self-report questionnaires, peer evaluations, sociograms, and qualitative assessments to assess social competence, empathy, communication skills, and social support networks. Cultural Considerations in Adolescent Assessment It is crucial to consider cultural factors when conducting adolescent assessments. Different cultural backgrounds, beliefs, and values influence the interpretation of assessment results and the effectiveness of interventions. Professionals should employ culturally sensitive assessment tools, adapt them accordingly, and involve diverse perspectives to ensure accurate assessment and support. Benefits and Limitations of Adolescent Assessment Tools Adolescent assessment tools offer several benefits, including: Identification of strengths and areas of improvement Tailored interventions and support plans Objective measurement of progress and outcomes Informed decision-making for educational and therapeutic interventions However, it is important to acknowledge the limitations of these tools, such as: Potential cultural biases in assessments Reliance on self-reporting, which may be influenced by social desirability Limited scope of assessment tools in capturing the complexities of adolescent development Best Practices for Using Adolescent Assessment Tools To maximize
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[2023] Revisit your personal philosophy of teaching. What learning strategies (discussed in chapter 7) that are influenced by your personal philosophy of teaching
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Foster a collaborative learning environment where students can work together, share ideas, and learn from one another. Incorporate group projects, discussions, and peer feedback opportunities. Encourage effective communication skills, active listening, and respect for diverse perspectives. By promoting collaboration, you prepare students for future teamwork and enhance their interpersonal skills. Valuing Diversity and Inclusion In a diverse classroom, it is crucial to embrace and celebrate differences. Incorporate inclusive practices that cater to students of various backgrounds, cultures, and abilities. Create a curriculum that is culturally responsive and incorporates diverse perspectives. Foster an inclusive environment where every student feels valued, respected, and supported. By promoting diversity and inclusion, you cultivate an enriching learning experience for all. Adapting and Evolving Your Philosophy Teaching is a dynamic profession that requires constant adaptation and growth. Your personal philosophy of teaching should also evolve over time. Stay open to new ideas, research, and emerging educational trends. Reflect on your experiences, successes, and challenges, and adjust your philosophy accordingly. Embrace lifelong learning and continuously refine your approach to provide the best possible education to your students. Sharing Your Philosophy with Others Your personal philosophy of teaching is not just for personal use; it can inspire and influence others. Share
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