Focused Soap psychiatric evaluation Examplar ( Please this is just an example/template to follow. Do not copy)

INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY

If you are struggling with the format or remembering what to include, follow the Focused SOAP Note Evaluation Template AND the Rubric as your guide. petunia park case study – NRNP 6665 Week 4 Assignment It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required.  After reviewing full details of the rubric, you can use it as a guide.

In the Subjective section, provide:

Chief complaint

History of present illness (HPI)

Past psychiatric history

Medication trials and current medications

Psychotherapy or previous psychiatric diagnosis

Pertinent substance use, family psychiatric/substance use, social, and medical history

Allergies

ROS

Read rating descriptions to see the grading standards! 

In the Objective section, provide:

Physical exam documentation of systems pertinent to the chief complaint, HPI, and history

Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses. petunia park case study – NRNP 6665 Week 4 Assignment

In the Assessment section, provide:

Results of the mental status examination, presented in paragraph form.

At least three differentials with supporting evidence. List them from top priority to least priority. petunia park case study – NRNP 6665 Week 4 Assignment 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.

Read rating descriptions to see the grading standards!

Reflect on this case. Include: Discuss what you learned and what you might do differently. 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.) petunia park case study – NRNP 6665 Week 4 Assignment.

(The FOCUSED SOAP psychiatric evaluation is typically the follow-up visit patient note. You will practice writing this type of note in this course. You will be focusing more on the symptoms from your differential diagnosis from the comprehensive psychiatric evaluation narrowing to your diagnostic impression. You will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for illnesses which could be impacting your patient. petunia park case study – NRNP 6665 Week 4 Assignment. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)