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Essay Available:
Pages:
4 pages/β‰ˆ1100 words
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Check Instructions
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 17.28
Topic:

The Symptoms and Signs of Hypothyroidism

Essay Instructions:

Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.
Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.
Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video.
Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide.
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 is supported by the patient’s symptoms.
Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be.

Essay Sample Content Preview:

Week (enter week #): (Enter assignment title)
Student Name
College of Nursing- University
PRAC 6675: PMHNP Care Across the Lifespan II
Faculty Name
Assignment Due Date
Subjective:
CC (chief complaint): “I have not been consistently going to school because I feel sad most of the time, and sometimes, I feel like I do not want to live anymore.”
HPI: A.J. is a 20-year-old male, Caucasian, single, who complains of consistently depressed mood and suicidal ideations for the past three months. The patient also lost interest in studying despite being a consistent honor student. He cannot concentrate in class and was not able to pass the requirements on time. He started to have failing grades in some subjects, which gives him a feeling of unworthiness of being a candidate for Latin Honors. He also noticed gaining weight and difficulty in sleeping for the past few months. He denies any slowness of movement and thought. The patient has not been diagnosed with any psychiatric disorders in the past.
Substance Current Use: He is a smoker (two sticks per day), an occasional alcoholic beverage drinker, and does not use illicit drugs.
Medical History:
Current Medications: None
Allergies: No known allergies
Reproductive Hx: He claims that he has engaged in sexual activities previously. The routes are vaginal, oral, and anal sex. He has only one sexual partner, and he engages in sexual activities at least once a week.
ROS:
GENERAL: no fever, night sweats, fainting spells, dizziness, or recent LOC
HEENT: no headache, eye pain, blurring or doubling of vision, eye discharges, deafness, tinnitus, nosebleeds, sinus pain, nose discharges, hoarseness of voice, difficulty swallowing deglutition, dental problems, and lymphadenopathies.
SKIN: no lesions, open wounds, rashes, scars, pain or tenderness, and sudden changes in skin moisture; no changes in temperature sensitivity; (+) birthmarks on the dorsum of the hand, (R)
CARDIOVASCULAR: no previous Hx of cardiovascular diseases, chest pain, tachycardia, and easy fatigability
RESPIRATORY: no dyspnea, cough, or wheezing.
GASTROINTESTINAL: no nausea, vomiting, changes in diet, heartburn or indigestion, changes in bowel movement, bloody stools or vomitus, constipation
GENITOURINARY: no changes in urinary frequency, urgency, dysuria, hematuria, dribbling, or sexual difficulty
NEUROLOGICAL: no dizziness, numbness, loss of balance, or sudden muscle weakness
MUSCULOSKELETAL: no muscle weakness and muscle and joint pain
HEMATOLOGIC: no bleeding in any parts of the body or swollen glands; denies genetic or acquired hematologic problems; denies Hx of blood transfusion or illicit IV drug use; no Hx of hepatitis
LYMPHATICS: no lymphadenopathies and lymphadenitis
ENDOCRINOLOGIC: no changes in eating behavior; denies frequent hunger or thirst; no changes in sensorium.
Objective:
Diagnostic results:
Thyroid panel. One of the differential diagnoses of major depressive disorder (MDD) is hypothyroidism. Its signs and symptoms include fatigue, emotional lability (i.e., depressed mood), and mental sluggishness (Talaei et al., 2017). Sometimes, subclinical hypothyroidism can also coexist with MDD (Kim et al., 2018)
Fasting blood glu...
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