Comprehensive Psychiatric Evaluation

 

Document information about a patient that you examined during the last 3 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient. Be sure to incorporate any feedback you received on your Week 3 and Week 6 case presentations into this final presentation for the course.

To Prepare

• Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
• Select a patient that you examined during the last 3 weeks who presented with a disorder for which you have not already conducted an evaluation in Weeks 3 or 6. (For instance, if you selected a patient with OCD in Week 6, you must choose a patient with another type of disorder for this week.) Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain.
• Then, based on your evaluation of this patient, develop a video case presentation that includes 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.
• Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.
• Ensure that you have the appropriate lighting and equipment to record the presentation

Assignment
Record yourself presenting the complex case for your clinical patient. In your presentation:

• 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?

 

Video Presentation of Comprehensive Psychiatric Evaluation

Please work to keep your videos to no more than 8 mins. The directions for the video presentation are below, please note you should not read your entire comprehensive submission the key components list below. Also, work to present the patient not read from the paper.
• Develop a video case presentation, based on your evaluation of this patient, that includes 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.

 

 

 

 

Sample Solution

This paper audits the Composite Laminate Theories that have just been proposed and created in the ongoing years. These hypotheses predominantly center around the large scale mechanical investigation of the composite overlays which gives the versatile relations of the lamina. Stress-incited disappointment can happen in different routes in composite materials. Subsequently to comprehend and foresee transverse shear and typical pressure precisely, different composite cover speculations have been created. The favorable circumstances and hindrances of each model are talked about in detail. In this examination, the Composite Laminate Theories are isolated into two sections: (1) Single Layer Theory, where the whole plate is considered as one layer and (2) Layer Wise Theory, where each layer is dealt with independently for the investigation. It begins with relocation based speculations from extremely essential models, for example, Classical overlay hypothesis to progressively complex higher-request shear disfigurement hypothesis. [6] Presentation The prerequisite of composite materials has developed quickly. These materials are perfect for applications that require low thickness and high quality. Composite materials give incredible measure of adaptability in structure through the variety of the fiber direction or stacking arrangement of fiber and framework materials. The mechanical conduct of covers firmly relies upon the thickness of lamina and the direction of filaments. Henceforth, the lamina must be intended to fulfill the particular prerequisites of every specific application and to acquire most extreme favorable position from the directional properties of its constituent materials. The ordinary burdens and through-thickness conveyances of transverse shear for composite materials are significant on the grounds that in overlay composite plates, stress-initiated disappointments happen through three instruments. For example, when the in-plane pressure gets excessively huge, at that point the fiber breakage happens. In any case, ordinarily before the in-plane burdens surpass the fiber breakage point, bury laminar shear pressure disappointment happens when one layer slips digressively in respect to another. Then again, transverse typical pressure may build enough to cause disappointment by which two layers pull separated from one another. In this manner, it is basic to comprehend and figure transverse shear and typical worry through the thickness of the plate precisely. As a rule, two distinct methodologies have been utilized to study overlaid composite structures, which are: (1) single layer hypotheses and (2) discrete layer speculations. In the single layer hypothesis approach, layers in overlaid composites are thought to be one comparable single layer (ESL) while in the discrete hypothesis approach, each layer is considered independently in the examination. Additionally, plate distortion hypotheses can be ordered into two sorts: (1) relocation and (2) stress – based speculations. A short portrayal of removal based speculations is given underneath: dislodging based hypotheses can be separated into two classifications: traditional cover hypothesis (CLT) and shear twisting plate hypotheses. Regularly, composite overlay plate speculations are portrayed in the CLT, the main request shear twisting hypothesis (FSDT), the worldwide higher-request hypothesis, and the worldwide nearby higher shear disfigurement hypothesis (SDT). Depiction: In the examinations did in most recent couple of decades, a wide range of hypotheses were displayed to defeat different issues and clarify the practices of composite materials all the more precisely. In this paper, these speculations are surveyed, ordered, and their points of interest, shortcomings and restrictions are examined in detail. Covered COMPOSITE PLATES Old style Laminate Theory (CLT) The least complex ESL overlay plate hypothesis is the CLT, which depends on uprooting based speculations. In the nineteenth century Kirchhoff started the two-dimensional old style hypothesis of plates and later on it was proceeded by Love and Timoshenko. The foremost presumption in CLT is that ordinary lines to the mid-plane before distortion stay straight and typical to the plane after disfigurement. Different suspicions made in this hypothesis are (1) the in-plane strains are little when contrasted with solidarity (2) the plates are consummately fortified (3) the dislodging are little contrasted with the thickness. In spite of the fact that these presumptions lead to straightforward constitutive conditions, it is additionally the fundamental impediment of the hypothesis. These suspicions of disregarding the shear stresses lead to a decrease or expulsion of the three characteristic limit conditions that ought to be fulfilled along the free edges. These characteristic limit conditions are the bowing minute, typical power and curving couple. Regardless of its impediments, CLT is as yet a typical methodology used to get speedy and basic forecasts particularly for the conduct of flimsy plated overlaid structures. The principle rearrangements in this model is that 3D auxiliary plates ( with thickness ) or shells are treated as 2D plate or shells situated through mid-thickness which results in a critical decrement of the complete number of conditions and variable, therefore sparing a ton of computational time and exertion. Since they are available in shut structure arrangements, they give better down to earth translation and their administering conditions are simpler to unravel [6]. This methodology stays well known in light of the fact that it has turned into the establishment for further composite plate investigation speculations and techniques. This strategy works generally well for structures that are made out-of a fair and symmetric cover, encountering either unadulterated pressure or just unadulterated bowing. The blunder which is presented by ignoring the impact of transverse shear stresses winds up insignificant on or close to the edges and corners of thick-separated overlay arrangements. It is seen that the instigated blunder increments for thick plates made of composite layers. This is for the most part because of the way that the proportion of longitudinal to transverse shear flexible moduli is moderately enormous contrasted with isotropic materials [2]. It disregards transverse shear strains, under predicts diversions and overestimates regular frequencies and clasping loads [3]. Composite plates are, exposed to transverse shear and typical worries because of their spasmodic through-thickness conduct and their worldwide anisotropic nature [3]. So as to accomplish better expectations of the reaction qualities, for example, twisting, clasping stresses, torsion, and so on., various different hypotheses have been created which are displayed in following segments [6]. Figure1. Distortion Hypothesis [Taken from class notes. Propelled Plate Theory.1] Uprooting and strain field for CLT are given underneath: [Taken from class notes. [1]] First-request shear distortion speculations (FSDT) Reissner and Mindlin built up the traditional speculations for breaking down thicker covered composite plate which likewise considered the exchange shear impacts. These speculations are prevalently known as the shear distortion plate hypotheses. Numerous different speculations, which are augmentation of SDT, have likewise been proposed to examine the thicker covered composite. These speculations are fundamentally based on the suspicion that the dislodging w is consistent through the thickness while the relocations u and v change straightly through the thickness of each layer. By and large, these speculations are known as FSDT. The essential result of this hypothesis is that the transverse straight lines will be straight both when the misshapening however they won’t be typical to the mid-plane after disfigurement. As this hypothesis hypothesizes steady transverse shear pressure, it needs a shear remedy factor to fulfill the plate limit conditions on both the lower and upper surface. The shear remedy factor is acquainted with change the transverse shear firmness esteems and in this manner, the precision of aftereffects of the FSDT will depend remarkably on the shear redress factor. Further research has been embraced to beat the constraints of FSDT without including higher-request hypotheses to abstain from expanding the multifaceted nature of the conditions and calculations [2, 7]. Creators like Bhaskar and Varadan [23] utilized the mix of Navier’s methodology and a Laplace change system to tackle the conditions of harmony. Onsy et al. [4] exhibited a limited strip answer for covered plates. They utilized the FSDT and expected that the relocations u and v change directly through the thickness of each layer and are constant at the interfaces between neighboring layers. They likewise hypothesized that the dislodging w doesn’t shift through the thickness. These presumptions give an increasingly reasonable circumstance (when contrasted and CLPT) where in the shear strains are not consistent over the interfaces between contiguous lamina. Different impediments are (1) presumption of consistent shear pressure isn’t right as stresses must be zero at free surfaces. (2) FDST produces exact outcomes just for flimsy plates. So as to compute transverse shear all the more precisely, to fulfill all limit conditions and to dissect the conduct of progressively entangled thick composite structures under various stacking condition and to defeat the impediments the utilization of higher-request shear twisting speculations are imperative[1]. Figure2. Reissner – Mindline Plate [picture taken from MAE 557 class notes. 1] Higher Order Shear Deformation Theory: The constraints of the CLT and the FSDT have influenced the specialists to build up various worldwide HOSDT. The higher-request models depend on a suspicion of nonlinear pressure variety through the thickness [1]. These hypotheses are produced for thick plates however are transcendently 2D in nature. These hypotheses are equipped for speaking to the segment distorting in the disfigured arrangement. At the layer interfaces, a portion of these models don’t fulfill the congruity states of transverse shear stresses. Despite the fact that the discrete layer speculations don’t have this worry, they are computationally moderate when taking care of these issues in light of the way that the request for their overseeing conditions absolutely relies upon the quantity of layers [24]. Whitney endeavored to ex

This question has been answered.

Get Answer
WeCreativez WhatsApp Support
Our customer support team is here to answer your questions. Ask us anything!
👋 Hi, Welcome to Compliant Papers.