PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and

Walden University PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation 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 PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation

Whether one passes or fails an academic assignment such as the Walden University PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation 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 PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation

The introduction for the Walden University PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation 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.

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How to Write the Body for PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation

After the introduction, move into the main part of the PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation 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 PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation

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 PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation

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 PRAC 6635 Week 5 Comprehensive Psychiatric Evaluation and Patient Case Presentation, Video Case Presentation

Subjective:

CC (chief complaint): “I have persistent anxiety and depression.”

HPI: F.R., a male patient who was 57 years old, presented himself at the clinic, expressing his dissatisfaction with the fact that he had been suffering constant symptoms of worry and despair for the last six months. He talks about how he never stops worrying, has trouble sleeping, and has lost interest in hobbies that he used to take pleasure in. In addition, he states that he is experiencing weariness and having trouble focusing. However, the patient agrees that there are occasions when they feel hopeless, but they deny having any suicidal thoughts. Even though he is already taking medicine for diabetes and hypertension, he claims that he is not currently utilizing any medication for this mental disease.

Past Psychiatric History:

General Statement: The patient has a history of generalized anxiety disorder and severe depressive illness, diagnosed eight years before. He has intermittently used numerous drugs but has not maintained consistency with follow-up sessions.
Caregivers (if applicable): Parent
Hospitalizations: He denies ever being hospitalized.
Medication trials: The patient indicates that he was prescribed fluoxetine for the treatment of depression and anxiety disorder, although he has not adhered to a steady regimen of this medication.
Psychotherapy or Previous Psychiatric Diagnosis: The patient acknowledges a history of anxiety problems and depressive illness from 8 years before and has intermittently engaged in cognitive behavioral treatment.

Substance Current Use and History: He smokes one pack of cigarettes a day, drinks beer sometimes to increase his energy, and says he has never used narcotics or other illicit substances.

Family Psychiatric/Substance Use History: The patient claims not to be aware of his family’s psychiatric issues.

Psychosocial History: The patient receives financial assistance from his younger sister, with whom he cohabitates. His job had concluded around three years before. His latest educational achievement is the 12th grade. He asserts that he consumes three meals each day. He contends that he tries to exercise consistently but has been notably sluggish lately, citing fatigue throughout the day.

Medical History: Hypertension with Type 2 Diabetes Mellitus.

Current Medications: Metformin 500 mg twice a day, Lisinopril 10 mg once daily.
Allergies: There were no recorded medication allergies.

Reproductive Hx: The patient is childless and heterosexual. The patient’s family does not have any history of reproductive illnesses or fertility issues.

ROS:

GENERAL: denies experiencing fever, chills, recent fluctuations in body weight, gastrointestinal disturbances, or diminished appetite.
HEENT: Head: not injured. Eyes: denies using corrective lenses, reports no decreased vision, and has no redness or irritation. Nose: denies nasal bleeding, irritations, sinus problems, congestion, or inflammation. Throat and Mouth: denies gingival hemorrhage, odynophagia, or dysphagia.
SKIN: denies the presence of blisters, wounds, hives, or rashes.
CARDIOVASCULAR: denies any previous instances of cyanosis or uncomfortable murmurs. Denies experiencing palpitations or soreness in the chest.
RESPIRATORY: denies any history of coughing up blood, wheezing, dyspnea, pneumonia, bronchitis, or bloody cough.
GASTROINTESTINAL: No symptoms of constipation, diarrhea, emesis, bloating, or altered bowel habits are present.
GENITOURINARY: rejects changes in the frequency of urination, dysuria, reluctance to urinate, or nocturnal enuresis.
NEUROLOGICAL: denies paranesthesia, nausea, vomiting, loss of consciousness, syncope, and dizziness.
MUSCULOSKELETAL: denies any joint pain or soreness. There is no sign of joint edema. Confirms both the lower and upper extremities’ whole range of motion.
HAEMATOLOGIC: denies problems with hemorrhaging or protracted wound healing.
LYMPHATICS: negates signs of lymphadenopathy.
ENDOCRINOLOGIC: Denies excessive thirst, increased appetite, and frequent urination. Not exhibiting symptoms of hypothyroidism.

Objective:

Physical exam: Vital Signs: BP 139/80; P 97; R 19; T 98.7 O2 98.9% Ht 5’8, Wt. 189 lbs.

Diagnostic results: A comprehensive hemogram, TSH assessment, LFTs, kidney function test, and toxicology screenings were conducted; the findings indicated a reduced level of ethanol.

Assessment:

Mental Status Examination: The patient is well-groomed and attired for the weather. He has a cooperative but anxious demeanor characterized by ordinary speech and tone. His mood is characterized by anxiety and despondency, accompanied by a restricted affect. His cognitive approach is rational and purpose-driven, with apprehensions over health and financial security. He has awake and orientated cognition, although he exhibits inadequate attention and focus. He has excellent perception and is seeking assistance. His judgment remains intact, enabling them to make sound judgments about everyday activities and health.

Differential Diagnoses:

Generalized anxiety disorder: GAD is a mental health illness marked by chronic and disproportionate apprehension over several facets of everyday life (Papola et al., 2023). The DSM-5-TR delineates specific criteria for diagnosing generalized anxiety disorder, including excessive worry and stress, difficulty in self-regulation, and a minimum of three physical or mental symptoms, including irritability, tiredness, restlessness, edginess, and sleep disturbances (Byrd-Bredbenner et al., 2021). The patient reports a history of anxiety disorder for the past eight years.
Major depressive disorder: MDD, sometimes referred to as depression, is a mental health disease marked by enduring melancholy or lack of interest in external stimuli, adversely affecting everyday activities such as sleep, eating, and work (Amiri, 2021). The DSM-5 criteria for diagnosing depression require the presence of at least five signs over two weeks, including a depressed mood, diminished interest or pleasure, significant weight loss, cognitive slowing, fatigue, feelings of worthlessness, impaired concentration, and recurrent suicidal ideation (Gutiérrez-Rojas et al., 2020). The patient reports losing his job three years ago, resulting in persistent depression and lethargy.
Bipolar II Disorder: The DSM-5 diagnostic criteria for Bipolar II Disorder need the occurrence of at least one hypomanic episode and a severe depressive episode, excluding any manic episodes (Baldessarini et al., 2020). A hypomanic episode is characterized by a sustained elevated or irritable mood lasting a minimum of four consecutive days, accompanied by three or more of the following symptoms: inflated self-esteem, reduced need for sleep, excessive talkativeness, racing thoughts, heightened distractibility, increased goal-directed activity, and excessive engagement in activities with detrimental outcomes. The incident must be clear, atypical, and discernible. The patient reported being depressed for the past six months but does not qualify for this diagnosis.

Reflections: In a comparable patient evaluation, I would thoroughly examine the patient’s social support network and daily activities to pinpoint relevant stresses and intervention opportunities. I would use standardized screening instruments such as the PHQ-9 and GAD-7 to assess symptom intensity and track progress. Considering the social determinant of health, “Social and Community Context,” from HealthyPeople 2030, I acknowledge that the patient’s restricted social connections and isolated living conditions may intensify his anxiety and sadness (Watts et al., 2020). To mitigate health disparities, I would establish a community-oriented mental health program encompassing group therapy and social activities to cultivate connections while educating patients on the significance of sustaining social relationships and community engagement for improved mental health outcomes.

PRECEPTOR VERIFICATION:

I confirm that the patient used for this assignment was seen and managed by the student at their Meditrek-approved clinical site during this quarter’s learning course.

References

Amiri, S. (2021). Unemployment associated with major depression disorder and depressive symptoms: a systematic review and meta-analysis. International Journal of Occupational Safety and Ergonomics, 28(4), 2080–2092. https://doi.org/10.1080/10803548.2021.1954793

Baldessarini, R. J., Vázquez, G. H., & Tondo, L. (2020). Bipolar depression: a major unsolved challenge. International Journal of Bipolar Disorders, 8(1). https://doi.org/10.1186/s40345-019-0160-1

Byrd-Bredbenner, C., Eck, K., & Quick, V. (2021). GAD-7, GAD-2, and GAD-mini: Psychometric properties and norms of university students in the United States. General Hospital Psychiatry, 69, 61–66. https://doi.org/10.1016/j.genhosppsych.2021.01.002

Gutiérrez-Rojas, L., Porras-Segovia, A., Dunne, H., Andrade-González, N., & Cervilla, J. A. (2020). Prevalence and correlates of major depressive disorder: a systematic review. Brazilian Journal of Psychiatry, 42(6), 657–672. https://doi.org/10.1590/1516-4446-2020-0650

Papola, D., Miguel, C., Mazzaglia, M., Franco, P., Tedeschi, F., Romero, S. A., Patel, A. R., Ostuzzi, G., Gastaldon, C., Karyotaki, E., Harrer, M., Purgato, M., Sijbrandij, M., Patel, V., Furukawa, T. A., Cuijpers, P., & Barbui, C. (2023). Psychotherapies for generalized anxiety disorder in adults. JAMA Psychiatry, 81(3), 250. https://doi.org/10.1001/jamapsychiatry.2023.3971

Watts, S., Marchand, A., Bouchard, S., Gosselin, P., Langlois, F., Belleville, G., & Dugas, M. J. (2020). Tele psychotherapy for generalized anxiety disorder: Impact on the working alliance. Journal of Psychotherapy Integration, 30(2), 208–225. https://doi.org/10.1037/int0000223