Psychiatric assessment
Subjective: What details did the patient provide regarding their chief complaint and symptomology 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 their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms.
Plan: In your assignment, describe your treatment plan using clinical practice guidelines supported by evidence-based practice. Include a discussion on your chosen FDA-approved psychopharmacologic agents and include alternative treatments available and supported by valid research. All treatment choices must have a discussion of your rationale for the choice supported by valid research. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this treatment session?
In your written plan include all the above as well as include one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.
As discussed by Bottazzo (2005), a company’s employees are one of its main groups of potential stakeholders. As a result, the satisfaction of employees is considered equal to the satisfaction of customers and shareholders, becoming an important element of an organisation’s strategic mission. This has created a paradigm shift of internal communication from one-way informing of employees, to a two-way communication with the inclusion of training, education and motivation.
The goal of internal communication is to achieve employee-company advocacy, with workers buying into the missions and values of the organisation and reflect those to other potential stakeholders. Therefore it’s necessary for Recticel to maintain the use of different platforms for everyday communication, including email, telephone, webinars and Skype – which allows a range of users to ‘dial in’ to a meeting and share computer screens. For a multi-national company, well-rounded communication from management is crucial – to offer information, support and a sense of community for plants that cannot be supported through emails or phone calls alone (Pinsky, 2015).
Recticel address this through an internal intranet system, RICK (Recticel Intranet Centre of Knowledge). RICK contains all of the documents, training and support required by individual plants to help run their business successfully. In a manufacturing environment, changes can take place rapidly – this method of instantaneous communication will assist individual plants to sync their business activities.
RICK boosts the company’s efforts of ‘on boarding’ – the introduction of new employees to the company. In a company of this size, the automation of an on boarding programme streamlines talent management initiatives and improves productivity long term. A personalised level of access to the intranet system facilitates a steady flow of well-timed information to new employees (Friedmann, 2012). There are instances where automation in the ‘on boarding’ and communication processes have their disadvantages. In large manufacturing companies like Recticel, where most employees work the assembly line rather than at a desk, not all employees have the same access to information and training.
Sample Solution
During the psychiatric assessment, I observed that the patient was alert and oriented with their mood seeming to fluctuate between anxiousness and agitation. They had difficulty controlling their emotions at times but managed to maintain appropriate behavior throughout most of the session. The patient reported feeling overwhelmed by situations as well as feelings of guilt which were exacerbated when interacting with other people.
They also mentioned experiencing intrusive thoughts, sleep disturbances, lack of energy and concentration issues which caused them to struggle in doing everyday activities such as attending class or going to work reliably. In terms of duration, they stated that these symptoms had been present for a few months however they noted that it seemed like they had been there longer due to how difficult they found it dealing with certain situations.
In addition, I took note of physical signs such as increased heart rate and faster breathing which occurred when discussing stressors associated with school or work although no other medical complaints were reported during this assessment. Lastly, I evaluated their level functioning by inquiring about current social activities, hobbies and ability complete tasks independently (with minimal assistance if needed). In this regard it became clear that these symptoms have been having a profound impact on their life as many important aspects were neglected due to how overwhelming everything had become.
Overall, this patient presented a variety of psychological symptoms combined with elevated physiological responses both being exacerbated by trying manage daily demands making differential diagnosis quite challenging yet essential in order provide appropriate treatment plan moving forward.