Laboratory tests should be ordered or reviewed for every mental health patient.

Laboratory tests should be ordered or reviewed for every mental health patient. Many of the patients that come to you will have seen their primary care doctors within the past year. It is acceptable for you to have the patient sign a release of information (ROI) so that you can request their previous labs for a baseline and to include them on the chart in our office. There may be times that you feel that the labs need to be repeated due to previous abnormal values, amount of time since testing or presenting symptoms. Labs are commonly ordered and depending on the patient’s insurance carrier can be expensive. If labs are not drawn in your office, they may also be inconvenient for the patient. And often times, patients will complain about the discomfort associated with the initial stick for venous access. It is important for the PMHNP to know the most common labs that are indicated for review and chart inclusion for mental health patients according to diagnosis and medications being prescribed. All mental health patients should have a CBC, CMP, Lipid panel, TSH, Vitamin D and Vitamin B12 at a minimum. For certain disorders and medications (anticonvulsants and atypical antipsychotics) you may need to consider additional lab tests. What additional labs do you need to consider? You should include these additional labs in your PowerPoint™. Depending upon presentation, history and office practice, you may also need to order UDS on each patient initially and at established intervals. Include specifics that you are looking for with the UDS. How often should labs be ordered? Genetic testing is now being used to identify what medications may be more acceptable or contraindicated for patients based upon their genetic map. There are multiple tests and labs that have been developed and marketed to providers to potentially aid in medication management choices. There are some limitations with the testing. The most important being that they predict metabolism and bioavailability of medications but they do not predict a patient’s clinical response (improvement in mental health) to a particular medication. Genetic testing is most commonly performed using buccal swabs. The provider will swab the patient’s oral cavity and then send the specimen to the lab for processing via UPS or FedEx. In this workshop, you will discuss each test listed above and laboratory values that may indicate that the patient is suffering from a metabolic issue versus a mental health issue. Some metabolic imbalances can mimic or produce mental health symptoms. In this workshop, you will examine the tests mentioned and their pertinence in mental health care assessment and management. The best PowerPoint presentations use standardized positions and style. They provide only necessary information and when combined with graphics are entertaining as well as informative. The PowerPoint will have colors that contrast and complement each other. Also, do not try to include all of the information on the PowerPoint slide itself. Information can be entered into the notes section to be used during the presentation. You want your audience to have fun and be engaged. Develop a PowerPoint™ presentation to discuss each of the above highlighted labs and how pertinent findings may impact your mental health diagnosis and treatment plan. Briefly explain the disorder you are ruling out or in with the testing results and state the rationale for the testing needed in the scenario. Be as specific as possible providing a basic overview of the tests that you are assessing as well as the benefits, risks, and limitations. Use on slide for each bolded test - use the notes section on PPT to relay added information regarding each test. Provide citations for information on each slide. When you have completed your assignment, save a copy for yourself and submit a copy to your instructor using the 3.2 Assignment by day Five of the workshop.

Sample Solution

Slide 1

Mental Health Laboratory Tests

Opens in a new window www.brainline.org brain

Speaker Notes In this presentation, we will discuss the role of laboratory tests in the assessment and management of mental health disorders. We will review the most common labs that are indicated for review and chart inclusion for mental health patients according to diagnosis and medications being prescribed. We will also discuss the use of genetic testing to identify what medications may be more acceptable or contraindicated for patients based upon their genetic map.

Slide 2

CBC

Opens in a new window www.verywellhealth.com blood cell

A complete blood count (CBC) is a common blood test that measures the different components of your blood, including red blood cells, white blood cells, and platelets.
A CBC can help to identify a variety of conditions, including anemia, infection, and inflammation.
In mental health patients, a CBC can be used to rule out medical conditions that can mimic mental health symptoms, such as thyroid disease or vitamin deficiencies.

Speaker Notes A complete blood count (CBC) is a common blood test that measures the different components of your blood, including red blood cells, white blood cells, and platelets. A CBC can help to identify a variety of conditions, including anemia, infection, and inflammation. In mental health patients, a CBC can be used to rule out medical conditions that can mimic mental health symptoms, such as thyroid disease or vitamin deficiencies.

Slide 3

CMP

Opens in a new window byjus.com kidney

A comprehensive metabolic panel (CMP) is a blood test that measures the levels of various electrolytes, minerals, and enzymes in your blood.
A CMP can help to identify a variety of conditions, including kidney disease, liver disease, and electrolyte imbalances.
In mental health patients, a CMP can be used to rule out medical conditions that can affect mental health, such as electrolyte imbalances or liver disease.

Speaker Notes A comprehensive metabolic panel (CMP) is a blood test that measures the levels of various electrolytes, minerals, and enzymes in your blood. A CMP can help to identify a variety of conditions, including kidney disease, liver disease, and electrolyte imbalances. In mental health patients, a CMP can be used to rule out medical conditions that can affect mental health, such as electrolyte imbalances or liver disease.

Slide 4

Lipid Panel

Opens in a new window history.com heart

A lipid panel is a blood test that measures the levels of cholesterol, triglycerides, and other lipids in your blood.
A lipid panel can help to identify a risk of heart disease and stroke.
In mental health patients, a lipid panel can be used to monitor the side effects of certain medications, such as atypical antipsychotics.

Speaker Notes A lipid panel is a blood test that measures the levels of cholesterol, triglycerides, and other lipids in your blood. A lipid panel can help to identify a risk of heart disease and stroke. In mental health patients, a lipid panel can be used to monitor the side effects of certain medications, such as atypical antipsychotics.

Slide 5

TSH

Opens in a new window my.clevelandclinic.org thyroid gland

A thyroid-stimulating hormone (TSH) test is a blood test that measures the level of TSH in your blood.
TSH is a hormone that is produced by the pituitary gland and that stimulates the thyroid gland to produce thyroid hormones.
A TSH test can help to identify thyroid disorders, such as hypothyroidism and hyperthyroidism.
In mental health patients, a TSH test can be used to rule out thyroid disorders, which can mimic mental health symptoms, such as depression and fatigue.

Speaker Notes A thyroid-stimulating hormone (TSH) test is a blood test that measures the level of TSH in your blood. TSH is a hormone that is produced by the pituitary gland and that stimulates the thyroid gland to produce thyroid hormones. A TSH test can help to identify thyroid disorders, such as hypothyroidism and hyperthyroidism. In mental health patients, a TSH test can be used to rule out thyroid disorders, which can mimic mental health symptoms, such as depression and fatigue.

Slide 6

Vitamin D

Opens in a new window en.wikipedia.org sun

A vitamin D test is a blood test that measures the level of vitamin D in your blood.
Vitamin D is a nutrient that is essential for bone health and immune function.
A vitamin D deficiency can cause a variety of health problems, including rickets, osteoporosis, and autoimmune diseases.
In mental health patients, a vitamin D deficiency can be associated with depression and anxiety.

Speaker Notes A vitamin D test is a blood test that measures the level of vitamin D in your blood. Vitamin D is a nutrient that is essential for bone health and

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Laboratory tests should be ordered or reviewed for every mental health patient.

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