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NRNP 6675 Week 3 Focused SOAP Note and Patient Case Presentation $15.98   Add to cart

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NRNP 6675 Week 3 Focused SOAP Note and Patient Case Presentation

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NRNP 6675 Week 3 Focused SOAP Note and Patient Case Presentation/NRNP 6675 Week 3 Focused SOAP Note and Patient Case Presentation/NRNP 6675 Week 3 Focused SOAP Note and Patient Case Presentation/NRNP 6675 Week 3 Focused SOAP Note and Patient Case Presentation

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  • April 26, 2022
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Week 3: Focused SOAP Note and Patient Case Presentation

College of Nursing-PMHNP, Walden University

NRNP 6675: PMHNP Care Across the Lifespan 2 Practicum

September 19, 2021




Introduction

, Each mental intervention is based on the evidence gathered during the initial interview

with the patient; each patient's therapy begins with a thorough medical and mental health

evaluation, the incorporation of trust, and a dialogue of past mental health history, substance

misuse history, family mental health history, and so forth. The evaluation of the patient in this

case was documented, and a diagnostic impression was formed based on the information

obtained from the patient during the evaluation. A therapy strategy was devised when the case

was developed. The patient is a 7-year-old Caucasian boy who was scheduled for an initial

screening for a mood disorder after her pediatrician recommended that she consult a psychiatrist.

At this time, the patient is not taking any medications. DDAVP PO was given to the patient, but

it was stopped since it was ineffective.

Patient Initial: R.C Age: 7 Gender: Male

Subjective Data:



CC: "My mother said you will be able to help me with my mood problem"

HPI: R.C a 7-year-old White male who was referred to a psychiatrist for evaluation after several

treatments and efforts by his teacher to help him with his mood. According to patient's

mother during the interview, the mother said that the pediatrician placed patient on DDAVP

which did not help patient. Mother did not list dose of medication or frequency. During the

interview, patient states that he feels worried most time. Patient said " I am worried about

everything". Patient admits to bad dreams and that he dreams a lot that he can't find his brother

and mom. When asked if patient feels lost. Patient responding saying " I worry about my mom

and brother when I am alone". Patient went further to state "People in school don't like me. They

call me smelly and calls me names". Patient said that his mom said his school mates calls him

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