Hello All,
Please review the below tips.
- I suggest that you all spend time reviewing Chapter 5 of Kaplan and Saddock. If you have not watched the video, I posted reviewing the course exemplar please do so.
- The CC is a direct quote from the patient or caregiver if a caregiver includes that information.
- The HPI is a key component that takes practice. It should be clear and concise providing information that is pertinent to the signs and symptoms being presented without excessive information. The HPI should paint a picture of the client and is the foundation for the diagnosis.
See the examples below:
Mrs. TP voluntarily presents today with a severely depressed mood x 2 months that began after the death of her dog. She feels depressed more days than not and has crying spells 6 out of 7 days. They no longer find pleasure in gardening and have been written up at work due to missing work. She denies SI/HI. Reports feeling anxious daily with difficulty falling and staying asleep.
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Mrs. TP reports feeling tired daily and fatigued, with psychomotor retardation of just laying in bed. She has had an increase in appetite and gained 15 lbs in the last 2 months. When she is having a depressing day she attempts to think about her grandchildren but this has not helped, she has avoided the dog park because it makes her depression worse. She denies previous episodes of depression.
What are the s/s present, what is the trigger/precipitating event, how often and how severe, what makes s/s better what makes it worse? I realize in the case study you may not be given the how often. That is when you insert below the HPI the following information was missing… This demonstrates that you understand the key components of an HPI.
- The psychosocial history is not just what is in the background document there is more information in that background document than what belongs in the psychosocial assessment you will need to be able to pick out from that background document what belongs in the psychosocial what belongs in the medical history, history, etc.
- You cannot say the Physical exam is Not applicable. An exam of some sort is always applicable. What are the client’s v/s, ht/wt, and BMI? Every case study had a set of vital signs in the background information. What can you see during the interview? Is the client’s skin pale? Was a tremor present? Any acute distress?? Keep in mind when you are practicing many insurance companies require at least 3 points of vital signs for payment of services. It is best to get in the habit of documenting this now.
- Diagnostic results: If you are given none in the case study tell me what you would order, why, and what evidence supports it. It may be blood work or CT of the head etc. Additionally, what assessment/screening tool would you use for this patient? Do not give every possible one but what you would order why, and, what evidence supports it. For example, if the patient expresses SI a suicide scale/assessment would be desirable.
- MSE: you must give the MSE in paragraph form. The exemplar in your course is helpful but page 213 of Kaplan & Saddock gives more detail and helpful information.
- Differential Diagnosis: I want to see that you can connect the presenting s/s to the diagnostic criteria. You can give background information about the diagnosis, but you must demonstrate that you can justify the diagnosis with the presentation and criteria. example” Mr.A.W. meets criteria A of depression as evidenced by ……..
- Reflections: Be sure that you are addressing each of the topics in the Assignment directions.
- Citations. You must have at least 3 peer review scholarly journals and evidence-based guidelines published within the last 5 years. Websites directed to patients are not scholarly and should not be used. To review correct APA citations, see the Writing Center Citations: Overview.
- Be sure you start your assignment with a Title page and an introduction. The introduction should be a brief paragraph that gives some background information about the diagnosis. Then end with a purpose statement.
- Writing concise sentences
Use the fewest and most efficient words possible to create information-packed sentences. Imagine that each word costs $20, and you have to budget carefully.
To clean up a wordy sentence:
- Keep your adjectives in front of your nouns:
Change a person who is lively to a lively person
Change a business that is known to be trustworthy to a trustworthy business
- Avoid beginning thoughts with it is or there are:
There are some people living in London who enjoy wearing hats that could be changed to the following:
Some people in London enjoy wearing hats
- Avoid redundancy:
I will study the theories, ideas, and models of three theorists could be I will study the ideas of three theorists
I do realize this is a lot of information, but I feel it will help you do your best on the 1st CPE submission.
Dr. Perrigo
Announcements
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- CPE Video Review
Posted on: Monday, June 13, 2022, 2:36:51 PM EDT
Hello Everyone,
Please watch the video below. In this video, I go over the assignment and the templates provided in the course. Additionally, I point out areas where students often struggle so It will help you to watch this video. If you have questions, please let me know.
Dr. Perrigo
CPE Video Review
Posted by: Tabitha Perrigo DNP PMHNP
Posted to: NRNP-6635-3/NRNP-6635C-3-Psychopathology Diag Reasoning-2022-Summer-QTR-Term-wks-1-thru-11-(05/30/2022-08/14/2022)-PT27
- CPE clarification
Posted on: Tuesday, June 14, 2022, 8:00:00 AM EDT
Hello Everyone,
- You choose which case study to present listed in each week.
- You will need the 7th edition APA Title page and introduction that ends with a purpose statement at the beginning of your CPE. Then begin with the template provided in your resources. You will include a conclusion as well.
- If you have not already, please watch the video that was posted in the course announcements. It will help you better understand what is expected of this assignment.
- When watching the case study video, you can view the transcripts and have the option of translating the transcript into other languages. You need to enter a word in the search bar then hit enter. See images below:
