Health Medical

St Thomas University Group Case Study Patient Condition Presentation

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Description



Group Case Study Video Presentation

For this assignment, groups of 3 students will create a narrated presentation regarding a patient case scenario, using the Group Case Study guidelines provided to you. Students will be assigned to groups and your assigned group can be found in the People navigation link on the left side of your Canvas page.

Use of the current APA format for PowerPoint (PPT) presentations is expected. One group member should submit the PPT slides AND the recorded Zoom video to Assignments in Canvas for grading. Post the PPT in the Threaded Discussion section, then view and evaluate two peers’ presentations for full credit for the assignment.

Activity Criteria:

  1. Select a patient that you have encountered in the clinic setting who has signs and symptoms of at least three psychiatric disorders and one medical condition.
  2. Provide a 10-12 PPT slide overview of the case using Zoom

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 (OLD CARTS or PQRST); Review of Systems (ROS). Elements of the HPI (Links to an external site.)

O =

Objective data: Medications; Allergies; Past medical history; Family 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, 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 synthesize 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.”

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 be less than 10 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).
  • Students must wear their lab coats and conduct the video in a professional setting, or the presentation will not be graded.
  • Complete the Zoom video assignment and submit it by 11:59 PM ET Sunday
  • Your initial post is worth 95 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 5 points. Your total score will be reduced by 5 points if two peer reviews are not completed. How to do Peer Reviews in Canvas (Links to an external site.)
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Sunday, and comment on the posts of two other groups by 11:59 PM ET Thursday in Module 7.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date

Grading Rubric

Your assignment will be graded according to the grading rubric.

Rubric

Group Video Case Presentation and Psychiatric SOAP Note Rubric

Group Video Case Presentation and Psychiatric SOAP Note Rubric
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeChief ComplaintChief Complaint (Reason for seeking health care) – S
4 to >3.0 pts

Exemplary

Includes a direct quote from patient about presenting problem

 3 to >2.0 pts

Distinguished

Includes a direct quote from patient and other unrelated information

 2 to >0.0 pts

Developing

Includes information but information is NOT a direct quote

 0 pts

Novice

Information is completely missing

4 pts

This criterion is linked to a Learning OutcomeDemographics – S
2 pts

Exemplary

Begins with patient initials, age, race, ethnicity, and gender (5 demographics)

 1.5 pts

Distinguished

Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity, and gender)

 1 pts

Developing

Begins with 3 or less patient demographics (patient initials, age, race, ethnicity, and gender)

 0 pts

Novice

Information is completely missing

2 pts

This criterion is linked to a Learning OutcomeHistory of the Present Illness (HPI) – S
5 to >3.0 pts

Exemplary

Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)

 3 to >2.0 pts

Distinguished

Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing

 2 to >1.0 pts

Developing

Includes the presenting problem and 4 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing

 1 to >0 pts

Novice

The presenting problem is not clearly stated and/or there are < 4 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing

5 pts

This criterion is linked to a Learning OutcomeAllergies – S
2 pts

Exemplary

Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)

 1.5 pts

Distinguished

If allergies are present, students list type Drug, environmental factor, herbal, food, latex name and include severity of allergy OR description of the allergy

 1 pts

Developing

If allergies are present, students lists only the type of allergy name

 0 pts

Novice

Information is completely missing

2 pts

This criterion is linked to a Learning OutcomeReview of Systems (ROS) – S
5 to >3.0 pts

Exemplary

Includes a minimum of 3 assessments for each body system, assesses at least 9 body systems directed to chief complaint, AND uses the words “admits” and “denies”

 3 to >2.0 pts

Distinguished

Includes 3 or fewer assessments for each body system, assesses 5-8 body systems directed to chief complaint, AND uses the words “admits” and “denies”

 2 to >0.0 pts

Developing

Includes 3 or fewer assessments for each body system, and assesses less than 5 body systems directed to chief complaint, OR student does not use the words “admits” and “denies”

 0 pts

Novice

Information is completely missing

5 pts

This criterion is linked to a Learning OutcomeVital Signs – O
2 pts

Exemplary

Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)

 1.5 pts

Distinguished

Includes at least 6 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)

 1 pts

Developing

Includes at least 4 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)

 0 pts

Novice

Information is completely missing

2 pts

This criterion is linked to a Learning OutcomeLabs, Diagnostic Tests and Screening Tools – O
3 pts

Exemplary

Includes a list of the labs, diagnostic tests or screening tools reviewed at the visit, values of lab results or screening tools, and highlights abnormal values, OR acknowledges no labs/diagnostic tests were reviewed.

 2 pts

Distinguished

Includes a list of the labs, diagnostic tests, or screening tools reviewed at the visit, but does not include the values of lab results or screening tools, but does not highlight abnormal values.

 1 pts

Developing

Includes a list of the labs, diagnostic tests, or screening tools reviewed at the visit but does not include the values of the results or highlight abnormal values.

 0 pts

Novice

Information is completely missing.

3 pts

This criterion is linked to a Learning OutcomeMedications-S
4 to >3.0 pts

Exemplary

Includes a list of all of the patient reported psychiatric and medical medications and the diagnosis for the medication (including name, dose, route, frequency)

 3 to >2.0 pts

Distinguished

Includes a list of all of the patient reported psychiatric and but omits the medical medications and the diagnosis for the medication (including name, dose, route, frequency)

 2 to >0.0 pts

Developing

Includes a list of some of the patient reported psychiatric and/or medical medications and the diagnosis for the medication (omits the dose, route, frequency of the medications)

 0 pts

Novice

Information is completely missing

4 pts

This criterion is linked to a Learning OutcomePast Medical History-S
3 pts

Exemplary

Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current

 2 pts

Distinguished

Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current

 1 pts

Developing

Includes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current

 0 pts

Novice

Information is completely missing

3 pts

This criterion is linked to a Learning OutcomePast Psychiatric History-S
5 to >3.0 pts

Exemplary

Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), year of diagnosis and

 3 to >2.0 pts

Distinguished

Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (omits addiction treatment), year of diagnosis

 2 to >0.0 pts

Developing

Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), does not include the year of diagnosis

 0 pts

Novice

The information is completely missing

5 pts

This criterion is linked to a Learning OutcomeFamily Psychiatric History-S
3 pts

Exemplary

Includes an assessment of at least 6 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts

 2 pts

Distinguished

Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts

 1 pts

Developing

Includes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts

 0 pts

Novice

Information is completely missing

3 pts

This criterion is linked to a Learning OutcomeSocial History-S
3 pts

Exemplary

Distinguished Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.

 2 pts

Distinguished

Includes at least 8 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.

 1 pts

Developing

Includes all 6 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.

 0 pts

Novice

Information is completely missing.

3 pts

This criterion is linked to a Learning OutcomeMental Status Exam-O
10 to >8.0 pts

Exemplary

Includes all 10 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each area

 8 to >5.0 pts

Distinguished

Includes all 8 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each area

 5 to >3.0 pts

Developing

Includes >6 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with some descriptions for each area

 3 to >0 pts

Novice

Includes <3 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) OR detailed descriptions is not included for each area

10 pts

This criterion is linked to a Learning OutcomePrimary Diagnoses-A
5 to >3.0 pts

Exemplary

Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)

 3 to >2.0 pts

Distinguished

Includes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority

 2 to >0.0 pts

Developing

Includes an inaccurate diagnosis as the principal diagnosis

 0 pts

Novice

Information is completely missing

5 pts

This criterion is linked to a Learning OutcomeDifferential Diagnoses-A
3 pts

Exemplary

Includes at least 2 differential diagnoses for the principal diagnosis

 2 pts

Distinguished

Includes 2 differential diagnoses for the principal diagnosis

 1 pts

Developing

Includes 1 differential diagnosis for the principal diagnosis

 0 pts

Novice

Information is completely missing

3 pts

This criterion is linked to a Learning OutcomeOutcome Labs/Screening Tools – O
3 pts

Exemplary

Includes appropriate diagnostic/lab testing or screening tool 100% of the time OR acknowledges “no diagnostic testing or screening tool clinically required at this time”

 2 pts

Distinguished

Includes appropriate diagnostic/lab testing 50% of the time OR acknowledges “no diagnostic testing or screening tool clinically required at this time”

 1 pts

Developing

Includes appropriate diagnostic testing less than 50% of the time.

 0 pts

Novice

Information is completely missing.

3 pts

This criterion is linked to a Learning OutcomeTreatment
8 to >6.0 pts

Exemplary

Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.

 6 to >4.0 pts

Distinguished

Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4-7 of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.

 4 to >2.0 pts

Developing

Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4 of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. Non-pharmacological treatment NOT included. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.

 2 to >0 pts

Novice

Information is comp

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