COMPREHENSIVE PATIENT PSYCHIATRIC EVALUATION
Please do the written part.
Do not sit and read your written evaluation! The video portion of the assignment is a simulation to demonstrate your ability to succinctly and effectively present a complex case to a colleague for a case consultation. The written portion of this assignment is a simulation for you to demonstrate to the faculty your ability to document the complex case as you would in an electronic medical record. The written portion of the assignment will be used as a guide for faculty to review your video to determine if you are omitting pertinent information or including non-essential information during your case staffing consultation video.
In your presentation:
· Dress professionally and present yourself in a professional manner.
· Display your photo ID at the start of the video when you introduce yourself.
· Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
· Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.
· Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
Be succinct in your presentation, and do not exceed 8 minutes. Address the following:
· Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
· Objective: What observations did you make during the interview and review of systems?
· Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis and why?
· Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.
· PRAC_6635_Week7_Assignment2_Part1__Rubric
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PRAC_6635_Week7_Assignment2_Part1__Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomePhoto ID display and professional attire |
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5 pts |
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This criterion is linked to a Learning OutcomeTime |
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5 pts |
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This criterion is linked to a Learning OutcomeDescription of chief complaint and history of present illness |
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5 pts |
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This criterion is linked to a Learning OutcomeDescription of past psychiatric, substance use, medical, social, and family history |
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5 pts |
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This criterion is linked to a Learning OutcomeDiscussion of most recent mental status exam and observations made during interview and review of systems |
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15 pts |
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This criterion is linked to a Learning OutcomeDiscussion of diagnostics with results |
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10 pts |
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This criterion is linked to a Learning OutcomeDiagnostic Impression with three (3) differential diagnosesReflection on this case |
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25 pts |
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This criterion is linked to a Learning OutcomePresentation style |
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5 pts |
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Total Points: 75 |