NR 603 Week 6 Mental Health Clinical Case Presentation Part 2 - SOAP-Analysis

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NR 603 Week 6 Mental Health Clinical Case Presentation Part 2 - SOAP-Analysis Requirements For Week 6 of the course there will not be a case study given to you by the faculty. Instead you will b... e assigned a mental health disorder commonly seen in primary care and you will create a case study based on that disorder. You may create a case study either from a previous clinical patient experience or if you have not had a patient in clinical that represents your assigned topic you may research your disease using the week’s classroom material and the evidence-based literature in the field. The case should be clear and include all elements of a normal case that might be presented in class (subjective, objective, assessment, and full 5 point plan). The clinical practicum documentation will be helpful for this process, or notes you have taken in clinical regarding cases. The case should be clear, organized, and meet the following guidelines: Week 6 Part 2- Turning in your final SOAP/Analysis The final SOAP will include your case as posted in part one and two of the clinical case presentation. After you write out the SOAP include the following sections in a large area called ANALYSIS: Pathophysiology and Pharmacology: For the primary diagnoses in the case, write a brief summary of the underlying pathophysiology and tie pharmacological treatment chosen in the reversal or control of that pathology. Additional analysis of the case: This includes national guidelines that were or should have been used to make diagnosis or treatment and review how they applied or how care was unique but based in guidelines. Follow-up: This means how the patient was doing when seen a second time if this applies. This would be their response to your plan of care. Quality: Include anything that should have been considered in hindsight or changes you would make in seeing similar patients in the future with the same complaint, history, exam, or diagnosis. Add anything you learned from discussion in the class that shed new light on this patient. Coding and Billing. Any or all CPT and ICD-10 codes that should have been used (List them and name them only. Written in a word document and submitted in the Week 6 case study summary. [Show More]

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