PRAC 6635 WEEK 9 Comprehensive Psychiatric Evaluation and Patient Case Presentation

Walden University PRAC 6635 WEEK 9 Comprehensive Psychiatric Evaluation and Patient Case Presentation –Step-By-Step Guide

This guide will demonstrate how to complete the Walden University PRAC 6635 WEEK 9 Comprehensive Psychiatric Evaluation and Patient 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 9 Comprehensive Psychiatric Evaluation and Patient Case Presentation                                                                                                   

Whether one passes or fails an academic assignment such as the Walden University  PRAC 6635 WEEK 9 Comprehensive Psychiatric Evaluation and Patient 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 9 Comprehensive Psychiatric Evaluation and Patient Case Presentation                                                                                                 

The introduction for the Walden University PRAC 6635 WEEK 9 Comprehensive Psychiatric Evaluation and Patient 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.

How to Write the Body for PRAC 6635 WEEK 9 Comprehensive Psychiatric Evaluation and Patient Case Presentation                                                                                                 

After the introduction, move into the main part of the  PRAC 6635 WEEK 9 Comprehensive Psychiatric Evaluation and Patient 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 9 Comprehensive Psychiatric Evaluation and Patient 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 9 Comprehensive Psychiatric Evaluation and Patient 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 9 Comprehensive Psychiatric Evaluation and Patient Case Presentation 

CC (chief complaint): “Sleeping difficulty.”

HPI: E.S. is a 54-year-old A.A. male who was referred for psychiatric assessment by his PCP. He presented with complaints of sleeping difficulties. He reported having difficulty initiating sleep for the past ten weeks. He also stated that he is usually sleepy when going to bed but often fails to sleep and is forced to get out of bed. This has resulted in sleeping for less than 4 hours a day. The client stated that having minimal sleep has led to daytime fatigue, tiredness, low energy levels, low concentration levels, and reduced work performance. Besides, he reported being constantly moody and lacking interest in most activities because of his low energy levels. The sleeping difficulties were not associated with any medical or psychological condition based on results from the medical assessment by his PCP.

Past Psychiatric History:

• General Statement: No psychiatric history.
• Caregivers (if applicable): None
• Hospitalizations: None
• Medication trials: None
• Psychotherapy or Previous Psychiatric Diagnosis:

Substance Current Use and History: He reports taking 1-2 bottles of beer in the evening to help him fall asleep. He denies tobacco smoking or substance use.

Family Psychiatric/Substance Use History: No family history of psychiatric or substance abuse disorders.

Psychosocial History: E.S. is married and has three children aged 26, 22, and 17. He is a hotel manager with a Degree in Business Management. His hobbies are watching basketball and traveling.

Medical History:

• Current Medications: None
• Allergies: NKDA

• Reproductive Hx: No history of STIs.

ROS:

• GENERAL: Reports fatigue, low energy levels, and sleep disturbance. Denies fever, malaise, or weight changes.
• HEENT: No eye pain, excessive lacrimation, nasal discharge, blockage, or throat pain.
• SKIN: No rashes or bruises.
• CARDIOVASCULAR: No palpitations, SOB, or edema.
• RESPIRATORY: No wheezing, cough, or breathing difficulties.
• GASTROINTESTINAL: No vomiting, appetite changes, abdominal pain, or diarrhea.
• GENITOURINARY: No dysuria, urinary frequency, or urgency.
• NEUROLOGICAL: No headaches, fatigue, or loss of consciousness.
• MUSCULOSKELETAL: No muscle or joint pain.
• HEMATOLOGIC: No bleeding or bruising.
• LYMPHATICS: No enlarged lymph nodes.
• ENDOCRINOLOGIC: No polyuria, acute thirst, hunger, or cold/heat intolerance.

Physical exam:

General: Adult male patient in no acute distress. He appears at the stated age. Normal gait and posture.

Cardiovascular: Regular heart rate and rhythm. S1 and S2 are present. No murmurs.

Respiratory: Chest expands uniformly. Respirations are smooth with no retractions. Lungs clear on auscultation.

Neurological: Speech is clear. C.N.s are intact.

Diagnostic results: No diagnostic tests were needed at this point.

Assessment

Mental Status Examination: The client is well-groomed and dressed appropriately for the weather. The self-reported mood is exhausted, and the affect is euthymic. He appears somewhat bored and tired during the interview session and reports that it is because he is exhausted. His speech is clear, and his thought process is coherent and goal-directed. No delusions, hallucinations, or suicidal ideations were present. He is oriented to person, place, and time. Memory, judgment, abstract thought, and insight are grossly intact.

Differential Diagnoses:

Insomnia: Insomnia is a sleep disorder characterized by poor sleep quantity or quality. Its clinical presentation includes difficulty in initiating or maintaining sleep. It is considered a disorder if it has lasted more than one month. The sleep problems result in daytime impairment (Rosenberg et al., 2023). The patient is having sleeping difficulties with problems initiating sleep and sleeps barely four hours. The sleep impairment has led to daytime impairment due to fatigue, low energy levels, low concentration levels, and reduced work performance.

Depression: Depression is a mood disorder that presents with a depressed or tearful mood or a reduced interest in activities. The diagnostic criteria also include appetite changes, weight changes, sleeping disturbances, low energy levels or fatigue, psychomotor agitation, reduced ability to think and concentrate, feelings of guilt/worthlessness, and suicidal thoughts or ideas (Giannelli, 2020). Depression is a differential diagnosis based on positive symptoms of sleep disturbances, being moody, fatigue, low energy levels, and low concentration levels. However, the symptoms can be attributed to insomnia and not a mood disorder.

Obstructive Sleep Apnea (OSA): This is a sleep disorder characterized by cessation or marked decrease in airflow in the presence of breathing effort. It presents with recurrent episodes of upper airway collapse during sleep (McNicholas & Korkalainen, 2023). Nocturnal symptoms include insomnia, restless sleep with frequent arousals, and tossing or turning during the night. This differential is based on the patient’s report of insomnia.

Reflections: I would ask the client to create a sleep diary in a different patient situation. In the diary, he will record when he goes to bed, falls asleep, awakens during the night, lies in bed awake, and gets out of bed in the morning (Riemann et al., 2023). Social determinants of health (SDOH) affect sleep duration and quality, leading to poorer health and well-being. Siengsukon (2020) explains that some SDOHs that seem to affect sleep include race, ethnicity, socioeconomic status (SES), light exposure, neighborhood safety, and exposure to media and technology. Thus, providing sleep health promotion measures without considering the SDOH that affects sleep health is remiss and thoughtless. Health promotion for this client should include sleep hygiene education to address behaviors incompatible with sleep. The patient should be educated on creating an environment that promotes sleep. This includes mitigating environmental noise, caffeine or alcohol use,  inappropriate room temperature, and watching T.V. in bed.

PRECEPTOR VERFICIATION:

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

References

Giannelli, F. R. (2020). Major depressive disorder. Journal of the American Academy of P.A.s, 33(4), 19-20. https://doi.org/10.1097/01.JAA.0000657208.70820.ab

McNicholas, W. T., & Korkalainen, H. (2023). Translation of obstructive sleep apnea pathophysiology and phenotypes to personalized treatment: A narrative review. Frontiers in Neurology, p. 14. https://doi.org/10.3389/fneur.2023.1239016

Riemann, D., Espie, C. A., Altena, E., Arnardottir, E. S., Baglioni, C., Bassetti, C. L. A., Bastien, C., Berzina, N., Bjorvatn, B., Dikeos, D., Dolenc Groselj, L., Ellis, J. G., Garcia-Borreguero, D., Geoffroy, P. A., Gjerstad, M., Gonçalves, M., Hertenstein, E., Hoedlmoser, K., Hion, T., Holzinger, B., … Spiegelhalder, K. (2023). The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023. Journal of Sleep Research, 32(6), e14035. https://doi.org/10.1111/jsr.14035

Rosenberg, R. P., Benca, R., Doghramji, P., & Roth, T. (2023). A 2023 Update on Managing Insomnia in Primary Care: Insights From an Expert Consensus Group. The Primary Care Companion for CNS Disorders, 25(1), 22nr03385. https://doi.org/10.4088/PCC.22nr03385

Siengsukon, C. F. (2020). The link between social determinants of health, sleep, and cardiovascular disease. Cardiopulmonary Physical Therapy Journal, 31(1), 5-10. https://doi.org/10.1097/cpt.0000000000000130