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4 pages/≈1100 words
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APA
Subject:
Health, Medicine, Nursing
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Essay
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English (U.S.)
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Topic:

Neurocognitive and Neurodevelopmental Disorders

Essay Instructions:

To Prepare:
Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Identify at least three possible differential diagnoses for the patient.
Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:
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 the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
Learning Resources
Required Readings (click to expand/reduce)
American Psychiatric Association. (2013). Neurocognitive disorders. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 591–644). Author.
American Psychiatric Association. (2013). Neurodevelopmental disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm01
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
Chapter 21, Neurocognitive Disorders
Chapter 31, Child Psychiatry
Case Study
Name: Sarah Higgins
Gender: female
Age: 9 years old
T- 97.4 P- 62 R 14 95/60 Ht 4’5 Wt 63lbs
Background: no history of treatment, developmental milestones met on time, vaccinations up
to date. Sleeps 9hrs/night, meals are difficult as she has hard time sitting for meals, she does
get proper nutrition per PCP.
Symptom Media. (Producer). (2017). Training title 48 [Video]. https://video-alexanderstreetcom(dot)ezp(dot)waldenulibrary(dot)org/watch/training-title-48

Essay Sample Content Preview:

Neurocognitive and Neurodevelopmental Disorders
Course
Institution
Instructor
Date
Case Study
Name: Sarah Higgins
Gender: female
Age: 9 years old
T- 97.4 P- 62 R 14 95/60 Ht 4’5 Wt 63lbs
Background: no history of treatment, developmental milestones met on time, vaccinations up to date. Sleeps 9hrs/night, meals are difficult as she has a hard time sitting for meals, she does get proper nutrition per PCP.
Subjective 
Chief complaint (CC) Difficulties in concentration (paying attention), remembering things, and the frequent loss of her belongings (memory)
History of present illness (HPI)
Sarah Higgins is nine years old, and she sleeps nine hours per night, while she faces difficulties sitting during meal times and has failed to get proper nutrition. Higgins’s mother brought her for evaluation, where Higgins answered questions to evaluate her concentration and memory. There are completed questionnaires on attention deficit hyperactivity disorder (ADHD). Higgins states that she is not good at remembering the teachers’ assignments and what the teachers stated, and she also daydreams in class. Sarah is also showing signs of hyperactivity, and while young, she would stick her hands inside a zoo cage and jump into a pool. She also forgets the list of assignments, and she tends to fidget when sitting in the classroom and is inattentive. 
Past psychiatric history
* General Statement: N/A
* Caregivers (if applicable):
* Hospitalizations: No history of treatment
* Medication trials: N/A
* Psychotherapy or Previous Psychiatric Diagnosis: N/A
Medication trials and current medications: None reported 
Psychotherapy or previous psychiatric diagnosis: None reported and developmental milestones met on time
Pertinent substance use, family psychiatric/substance use, social, and medical history: None reported
Allergies: None reported 
ROS
GENERAL: No unexplained weight gain or loss, loss of appetite in weight, night sweats, or fever
HEENT: No headaches, blur vision, sinus problems, nose bleeds, nasal congestion, sore throat, dental pain, ringing in ears, or ear pain
SKIN: The patient did not report any rash or itching
CARDIOVASCULAR: The patient did not report chest pain or palpitations, and there is no irregular heartbeat
RESPIRATORY: The patient did not report cough, chest pain, shortness of breath, night sweats, or wheezing.
GASTROINTESTINAL: The patient did not report any abdominal pain, unexplained change in bowel habits, nausea, difficulty swallowing, vomiting, heartburn, diarrhea, incontinence, or rectal bleeding. 
GENITOURINARY: The patient did not report painful urination, incontinence, bladder problems, and there are no changes in urinary movement.
NEUROLOGICAL: Patient did not report dizziness, paresthesia, or headaches seizure and had no history of seizures 
MUSCULOSKELETAL: The patient did not report joint pain reported, pain in all extremities, or aching muscles
HEMATOLOGIC: The patient does not have abnormal bleeding, anemia, or leukemia 
LYMPHATICS: No history of Splenectomy
ENDOCRINOLOGIC: The patient has no problems associated with intolerance to heat or cold, endoc...
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