NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD

Walden University NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD   assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for  NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD                                                                                             

Whether one passes or fails an academic assignment such as the Walden University  NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD   depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD                                                                                           

The introduction for the Walden University NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD   is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD                                                                                           

After the introduction, move into the main part of the  NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD   assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD                                                                                           

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for  NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD                                                                                             

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRNP 6665 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD

Subjective:

CC (chief complaint): “My mum thought you would help me be better.”

HPI: The video depicts Dev Cordoba, a 7-year-old boy accompanied by his mother for psychiatric evaluation. He was referred by his pediatrician for counseling. The mother reports that the boy has been constantly anxious and has bizarre thoughts like his mom dying or failing to pick him up from school, which leads to unwarranted worries. Besides, Dev has odd beliefs, such as his mom loving his brother more than she loves him. Dev’s habit of throwing things has gotten him in trouble at school. He reports that he is mostly anxious about a number of things. He often has terrible dreams where he gets lost or fails to find his mother and brother. Dev has been having concentration difficulties in school and gets into trouble for staring at the window.

The mother reports that the boy has problems sleeping since he insists the doors be open and sleeps with the lights on. He also frequently wakes up at night. Moreover, Dev often complains of headaches and stomach aches when at school so that he can be allowed to go home. His appetite has reduced, leading to a loss of three pounds in the past three weeks. He also experiences bedwetting, which has persisted despite being on treatment with DDVAP.

Substance Current Use: No exposure to substance use.

Medical History: No chronic illnesses.

• Current Medications: DDVAP for bedwetting
• Allergies: NKDA

• Reproductive Hx: None

ROS:

• GENERAL: Reports weight loss. No fever or fatigue.
• HEENT: Denies eye pain, rhinorrhea, nose bleeds, throat pain, or hoarseness.
• SKIN: Denies rashes or lesions.
• CARDIOVASCULAR: Denies shortness of breath, chest pain, or palpitations.
• RESPIRATORY: Denies cough or breathing difficulties.
• GASTROINTESTINAL: Reports frequent abdominal pain and poor appetite.
• GENITOURINARY: History of bedwetting. No dysuria or frequency.
• NEUROLOGICAL: Reports headaches. Ni muscle weakness or dizziness.
• MUSCULOSKELETAL: Denies muscle or joint pain.
• HEMATOLOGIC: No anemia, bleeding, or bruising.
• LYMPHATICS: No lymph node enlargement.
• ENDOCRINOLOGIC: No acute thirst or increased urine.

Objective:

Diagnostic results: No tests ordered.

Assessment:

Mental Status Examination:

The boy is neat, appropriately dressed, and appears to be his stated age. He is awake, alert, and oriented. He has a clear and coherent speech. He has a logical and coherent thought process. He expressed fear of the dark and his mother and brother being in danger. No hallucinations, obsessions, hallucinations, or suicidal thoughts were noted.

Diagnostic Impression:

Separation Anxiety Disorder (SAD): SAD is characterized by developmentally inappropriate and unwarranted fear or anxiety regarding separation from those to whom a child is attached. This presents with: Recurrent excessive distress when expecting or experiencing separation; Persistent and unwarranted worry about losing major attachment figures; Nightmares about losing attachment figures; Constant complaints of physical symptoms; Reluctance to sleep away from home or sleep away from the attachment figures (Weeks et al., 2023). Dev reports being constantly worried about his mother and brother being in danger and often reports physical symptoms so that he can go home. He has constant worry when away from his family and has reported having distressing dreams about something bad happening to his family members.  

Pediatric Generalized Anxiety Disorder (GAD):  Children with GAD usually present with excessive anxiety about regular, day-to-day situations. The anxiety is usually intrusive, causing distress or functional impairment. Besides, worry or anxiety is often accompanied by physical symptoms, like sleep disturbance, muscle tension, restlessness, gastrointestinal symptoms, and chronic headaches (Klein et al., 2023). This differential diagnosis aligns with the patient’s symptoms of constant unwarranted anxiety, sleep disturbance, and complaints of stomachaches and headaches.

Specific Phobia: This is characterized by significant fear or anxiety about a specific situation or object. The situation or object usually triggers anxiety or fear, which the child endures with marked anxiety or fear (Boland et al., 2022). Besides, the fear and anxiety are usually out of proportion to the danger the object or situation poses. The patient gets anxious about sleeping alone when it is dark and insists on sleeping with the door open and lights on. Darkness triggers fear.

Reflections: If I conduct this session again, I will utilize screening tools like the Children’s Separation Anxiety Scale (CSAS). The tool screens for worry about separation, distress about separation, Opposition to separation, and Calm at separation. The tool can help assess the severity of the patient’s SAD symptoms. Ethical considerations for this patient relate to his capacity to give consent. Since he is a minor, the clinician should obtain consent to assess and initiate treatment from the child’s parent. Health promotion should include teaching the parents about effective parenting styles. The patient should be educated on relaxation techniques to manage anxiety in situations when he is separated from his attachment figures.

Case Formulation and Treatment Plan:

Pharmacologic: Prozac 10 mg PO once daily. Prozac is FDA-approved to treat Anxiety disorders in children from 7 years (Rapee et al., 2023).

Non-pharmacologic treatments: Cognitive Behavioral Therapy (CBT) is indicated as the first-line treatment for Separation Anxiety Disorder. It is preferred owing to its efficacy and low adverse effect profile (Pettitt et al., 2022).

Alternative therapies: Imipramine 25 mg orally every bedtime. It is used off-label in treating children with SAD, but the risk of mortality and morbidity in drug overdose should be monitored (Rapee et al., 2023).

Follow-up: The patient will be scheduled for a visit after four weeks to assess his progress with treatment.

Health promotion and patient education: The patient should be educated on Relaxation techniques to help him effectively deal with anxiety when he faces situations that trigger fear (Weeks et al., 2023).

References

Klein, B., Rajendram, R., Hrycko, S., Poynter, A., Ortiz-Alvarez, O., Saunders, N., & Andrews, D. (2023). Anxiety in children and youth: Part 1-Diagnosis. Paediatrics & Child Health, 28(1), 37–51. https://doi.org/10.1093/pch/pxac102

Pettitt, R. M., Brown, E. A., Delashmitt, J. C., & Pizzo, M. N. (2022). The Management of Anxiety and Depression in Pediatrics. Cureus, 14(10), e30231. https://doi.org/10.7759/cureus.30231

Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer. 

Weeks, G. A., Sakmar, E., Clark, T. A., Rose, A. M., Silverman, W. K., & Lebowitz, E. R. (2023). Family Accommodation and Separation Anxiety: The Moderating Role of Child Attachment. Research square, rs.3.rs-3621755. https://doi.org/10.21203/rs.3.rs-3621755/v1

Rapee, R. M., Creswell, C., Kendall, P. C., Pine, D. S., & Waters, A. M. (2023). Anxiety disorders in children and adolescents: A summary and overview of the literature. Behavior Research and Therapy, 168, 104376. https://doi.org/10.1016/j.brat.2023.104376