Differential diagnosis and critical-thinking process

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Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
• Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
• Objective: What observations did you make during the psychiatric assessment?
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
• Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

 

 

Sample Solution

Through the span of my study, I inquired about the significance of self-care through research and how exercise can be a viable care method along with how I can utilize my self-care for my own personal and professional advancement as a future nurse. In preparation for my self-care study, I conducted a literature review of the importance of this modality in the nursing profession. The literature review validated that without appropriate self-care tactics nurses have a higher burnout rate and their feelings of fulfillment in their occupation significantly decreases. When nurses care less for themselves, they wind up feeling fatigued, overwhelmed, frustrated, and stressed. Once nurses begin to feel exhausted and overpowered with negative emotions, it begins to have a negative effect on patient care, leading to poor outcomes. Additionally, this absence of self-care incites poor physical, emotional, and mental well-being in the nursing populace. A research article on the mental health nursing profession illustrated that mental health nurses are at a substantial risk for stress-related illnesses when they lack familial and occupational support and self-care (Gibb, Cameron, Hamilton, Murphy & Naji, 2010). Gibbs, et al (2010) also discovered that mental health nurses needed help from their coworkers and managers and found that with a lack of support the nurses reported their occupation to be profoundly demanding, causing them to have elevated amounts of emotional exhaustion and stress. These mental health nurses were allowed the opportunity to meet with Occupational Health Services (OHS) as a means of additional help and a place to talk about their experiences and feelings. The greater part of the nurses who utilized the OSH service reported less stress and said they would highly recommend the program to other nurses. (Gibbs, et al, 2010). Another study focused on older nurses and their self-care strat

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