Consistent approach to the evaluation and management of mental health disorders
Construct a discussion that identifies how you feel the learning objectives were met supported with examples of course materials and course assignments.
For any course objectives, you feel were not met during the course please provide a discussion as to why it was not met.
Here are the course learning objectives for your review:
MN664-1: Construct a consistent approach to the evaluation and management of mental health disorders and conditions for adult/geriatric clients and clients across the lifespan presenting in the acute and/or primary care setting.
MN664-2: Design age-appropriate mental health and physical health maintenance screening plans for adult/geriatric clients and clients across the lifespan for psychiatric mental health disorders.
Provide evidence (citations and references) to support your statements and opinions.
applications of personalized medicine has wide influence fields. These applications involve diagnosis, screening, prediction, prognosis of treatment efficacy, control of patient after surgery to detect recurrence earlier and classification of patient into the small subgroups.
These subgroups favourably lead to choose targeted therapies. Targeted therapies provide high efficiency to respond rate to the therapy and survival consequences.(8) There are some current test for the varied aspects of personalized medicine (Table 1). Also personalized medicine contribute to the pharmaceutical companies. Because they waste o lot of money for the drug design. (9)
Cancer screening
Genetic and environmental factors are both contributor of the predisposition of cancer (10). Knowing the nature of these contributers is important to prevent the diseases ( adapting lifetstyle and behavior to the conditions). Sometimes genetic factors and cancer that are associated with each other affect significantly clinical intervention. For instance, as mentioned before if mutations occur at breast cancer susceptibility gene 1 and 2 (BRCA1,BRCA2) and at the same time if mutations occur at tumor suppressor genes , there is higher risk to develop the breast, ovarian, hematologic and prostate cancers(11). For these reason, regular screening, surgical measures and receive adjuvant therapies would undergo to prevent. Also genetic tests are used to analyse the inherited mutations DNA mismatch repair genes. Risk of advencing of colon cancer is high at the MLH1 and MSH2 genes(12). Under the light of this information cancer can be precluded with early screening colonoscopy to early detect and treat for cancer. Cancer databases that are about mutation types and polymorphisms are updated for public. These resources can be used to identify new biomarkers for screening.(13)
Tumor classification and subtyping
Personalized medicine changes the traditional classification of cancers from histologic scale to the molecular scale. Although histological scale does’nt give more information about prognosis , personalized tretment alternatives and risk of recurrence, molecular scale offers to give a detailed information about diseases processes(14). DNA, RNA, miRNA and protein have been used for molecy-ular analyses to classfy different tumor types into the subtypes. Each of them have an unique prognostic outcome that can not be identified with the traditional morphologic ways(15). Generally molecular scale for classification is used for acute myeloid leukemia, glioblastoma, breast cancer , and renal cell carcinoma , and to differentiate between Burkitt’s
Sample Solution
Overall, I believe the course objectives were met. Throughout this course we discussed how to assess and manage mental health disorders for adult/geriatric clients as well as those presenting in acute or primary care settings. Through our class discussions and activities, we explored various approaches such as medication management, individual and group therapy, family interventions, psychosocial assessment and crisis intervention. We also went over specific topics related to working with individuals from different backgrounds such as cultural competency when working with diverse populations.
Additionally, learning objectives were met through course assignments that allowed us to practice applying what was learned in the classroom. For example each student had an opportunity to create a comprehensive case plan for a fictional client which required utilizing many of the skills covered throughout the semester including completing assessments, formulating diagnoses, providing treatment recommendations and documenting sessions using current DSM-5 criteria.
Though all of our learning objectives were accomplished by the end of the semester there was one area where more attention could have been given; cognitive behavior therapies (CBT). CBT is a key component of evidence based practices however it was only briefly touched upon during our lectures due to time constraints within the module format we followed. Therefore if future classes are able to dedicate more time towards teaching CBT principles then students will be better equipped with this useful therapeutic tool that can provide meaningful clinical outcomes for their clients.