Step 1: For this assignment, PMHNP students will create a PowerPoint presentation using a patient they have seen in the clinic during psychiatric mental health nurse practitioner student rotations.  

Step 2: Each student will create a focused SOAP note PowerPoint presentation. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The comprehensive psychiatric SOAP note is to be written using the attached template below. 

S = 

Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS) 

• O = 

Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam 

A = 

Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes 

P = 

Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up 

Other:?Incorporate current clinical guidelines NIH Clinical Guidelines  (Links to an external site.)or APA Clinical Guidelines (Links to an external site.), research articles, and the role of the PMHNP in your presentation.  

Reminder: It is important that you complete this assessment using your critical thinking skills.  You are expected to synthesis your clinical assessment, formulate a psychiatric diagnosis, and develop a treatment plan independently.   It is not acceptable to document “my preceptor made this diagnosis.”  An example of the appropriate descriptors of the clinical evaluation is listed below.  It is not acceptable to document “within normal limits.”   

Graduate Mental Status Exam Guide.docx 

Submission Instructions: 

The presentation is original work and logically organized,?formatted, and cited in the current APA style, including citation of references.  

The presentation should consist of 10-15 slides and less than 7 minutes in length (excluding the introduction and reference page).?  

Incorporate a minimum of four current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style, 7th Edition (the library has a copy of the APA Manual).  

Overview

Physician practices are a key component of the U.S. health care system. As a future health care administrator, it is important for you to demonstrate an understanding of the challenges and opportunities that today’s physicians face in providing quality health care services.

Scenario

You are a newly licensed physician and have been hired to lead a small group practice. This is a new role for you, and you have decided to do some research and develop an operations plan to guide you in managing the practice and leading the staff.

Instructions

Part 1:

Develop Part 1 of 4 for an operations plan, Parts 2–4 will be completed in Weeks 6, 8, and 10 assignments. Part 1 of the operations plan should be 3–4 pages and include at least three quality academic resources in which you:

• Assess a minimum of two organizational forms in a medical group practice and summarize your findings.
• Select the organizational form will you use for this practice and justify your selection.
• Explain how you will transition from the existing practice form to the form you have selected.
• Develop three organizational goals as the new leader of the practice include constraints you may experience working towards those goals.
• Explain the role human resources management (HRM) will play in the physician practice, including attracting employees, employee retention, labor and employment laws, and compensation plans.
• Examine the role nursing will have in the restructuring of the practice.
• Develop a marketing strategy that includes three aspects of consumer behavior that should be considered and support your response.

Note: Include a cover page and reference page as required in the SWS Writing Standards.

Note: Incorporate the instructor feedback once you receive it to improve Part 1 of your operations plan, to be used in the Week 9 activity and Week 10 assignment.

This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.

The specific course learning outcome associated with this assignment is:

• Determine an organizational form, physician and physician practice competencies, HRM functions, and marketing strategies a group practice must assume to ensure the practice’s long-term success.

Paper-part 1

Chapter 6 discusses various general intervention models applicable to social work practice. From a clinical perspective, use one of the disorders covered within your Assessment & Psychopathology course (depression, anxiety, autism, OCD, schizophrenia, borderline, bipolar, etc.) and research an intervention method associated with that disorder and write a paper in APA format (7th edition, student paper) that covers the following information. Headers should denote the different sections covered within the paper.

1) Title & reference page (no abstract) is required using a minimum of 3 scholarly articles that have used the intervention as part of their research. APA 7th edition/Student Paper/grammar/sentence structure – 5 points

• Articles must be no older than 8 years
• Articles must come from reputable journals and contain empirically supported research
• Students may use the Troy Library or Google Scholar to search for articles
• Students are not allowed to use a website
• Troy Library link where students can also have live chats with librarians https://my.troy.edu/libraries/ 

2) Explain the intervention and how it is used for the diagnosis identified – 10 points

3) Identify the general strengths and limitations of the intervention as well as those from a cultural perspective – 10 points

4) Identify any potential ethical concerns regarding the use of the intervention – 5 points

This paper should be at least 2 pages in length! 

Part 2

Simplified, Cognitive Distortions are faulty thinking patterns typically exhibited by those with a mental illness. Talking through these can sometimes help clients identify and reframe the thinking patterns that are causing, or exacerbating their symptoms and/or diagnosis. For example, those with anxiety sometimes fixate on the “What ifs” of situations. At a certain point, they may struggle to see the difference between their irrational thinking and reality. The first step in helping a client move beyond Cognitive Distortions is to be able to spot them yourself!

1) Take a look at some of these common Cognitive Distortions. 

2) Choose one of the listed Cognitive Distortions to post the following:

• Name the Cognitive Distortion you chose. 
• Tell us why you chose this one.
• Talk about how this might present in a client (how would you recognize this when speaking to your client). 

Respond back to these two post.

1.There are several different ways of filing medical records. Three main ways that are common today are serial , unit, and serial unit-numbers. While they sound similar they are different. The serial filing method is every time a patient is seen and their records are pulled they receive a new medial record number. They do not keep the same number the whole time. This is a way to keep track of all the records that have recently been pulled in a numeric order. The unit filing system is where the patients keep the same medical record number for every encounter per facility. The medical records do not change depending on the number of office visits. The serial-unit numbering system sounds similar to the serial filing system however the differences is that with the serial-unit numbering system the patent only gets a new medical record number when they are seen, for each visit. While the serial filing system gets. New medical record number for each time the record is pulled.

2.The healthcare system is complex and it requires an organization system, in order to function as is required. Having a numbering system helps keep individual files, so there is no confusion as to what information belongs to whom. Also, it helps with obtaining information for health insurance reimbursement. In the system of healthcare, there is the serial unit numbering, serial and unit numbers. This numbering system provides a unique identification number.

A serial number is a number which is given to a new patient so they have an identity, thus it makes it easier for the hospital to pull up information about their health record. In the serial number system the patient number is assigned by the provider and a new patient record is created.

Serial unit number system combines the serial and the unit number system together so it can create a unique identification for an inpatient visit. This provides differentiation so they do not confuse both the serial number with the unit number

• Paper number 3 will summarize, for a country of your choice, the burden of either a particular infectious disease OR a group of the most important infectious diseases OR a particular non- communicable disease OR group of non-communicable diseases: the people most affected by this disease or diseases, key risk factors, the economic and social costs of the disease(s), and what might be done to address the disease(s) in cost-effective ways.

Each paper should be four pages long, double-spaced, in 12-point Times New Roman font. The paper cannot be longer than four pages or it will not be graded. Students must utilize APA format for all submissions.

The paper should be written in a very clear and very crisp manner, with short sentences, short paragraphs, and as few words as possible.

Each paper needs to be written in a manner that will allow the aide of the Minister of Finance to go over the contents of the brief with the Minister of Finance in about 3 minutes in a car on the way to some meeting, since that is what often really happens.

Each paper should be written about a different country in a different region of the world. The papers should be written on low- or middle-income countries, since they are the focus of the course. This will allow you to use the papers to explore selected health and development issues in a variety of settings in a manner deeper than you will be able to do only in the classroom.

The paper should answer the following questions:

• What is the nature and magnitude of the problem?
• Who is affected by it?
• What are the determinants of and risk factors for the problem?
• What are the health, economic, and social consequences of the problem?
• What few priority steps do you recommend be taken to address the problem, at least cost, in doable, sustainable, and fair ways and what is your rationale for these recommendations?
• Each paper must begin with this “one paragraph tells all” summary, formatted like an abstract.