You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information based on the DSM5-TR and current US clinical guidelines to support the case:
Subjective data:
Chief Complaint
Demographics
History of the Present Illness (HPI) includes the presenting problem and the 8 dimensions of the problem. See an example of the correct way to document the psychiatric HPI here
Review of Systems (ROS)
Objective data:
Current Medications
Allergies
Past medical history
Family psychiatric history
Social history
Labs and screening tools
Vital signs
Mental status exam
Assessment:
Primary Diagnosis – DSM5 only
Differential diagnosis – DSM5 only
Plan:
Pharmacologic treatment plan
Non-pharmacologic treatment plan
Follow up plan
Other:
Incorporation of current US clinical guidelines
Integration of research articles
Role of the nurse practitioner
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