Weekly Clinical Communication NU673 Psychiatric Mental Healthcare I
Use the template to respond to the highlighted question. 200w. due 6-29-24. 4 references the class is clinical rotation for Psychiatric Mental Healthcare
Course Description
This course prepares students to assess, diagnose, and manage mental health care needs across the lifespan. Emphasis will be placed on underlying acute and chronic psychiatric/mental health diagnoses. Clinical opportunities will be utilized for all PMHNP to apply concepts in primary and acute care settings with adults and families.
Program: Graduate Nursing
Student Name:
For the week of [date] – [date]
(Click on ‘date’ and a drop down calendar will appear.)
| Clinical Hours completed this week | Patient Encounters completed this week | ||
| Total Clinical Hours completed to date | Total Approved Patient Encounters completed to date |
Clinical Highlights
Choose one or more of the following to guide your self-reflection of your experience this week. Do not report on an extended SOAP note patient. The reflection should be a minimum of 100 to 150 words.
· Discuss an encounter that was particularly interesting and what you learned from it?
· Discuss a difficult or challenging encounter and how you handled it?
· Discuss an example of how you were able to independently contribute to this week’s encounters?
· Were there any patient management plans developed by your preceptor that surprised you?
· Were you able to “teach” your preceptor anything this week?
· Identify a personal learning need you discovered while assessing or managing a specific diagnosis. What steps will you take to improve your understanding or skills?
· What insights did you gain during your experience this week that will prove most helpful for future encounters?
· What personal success do you want to celebrate?
· If I could have a do over, I would have done this instead……
| Discussion | Type your response here – |
Looking Ahead
· What clinical goal would you like to tackle next week ?
· What is your proposed clinical schedule (date/time/total hours) for next week ?
| Discussion | Type your response here – |
I am going to email/message you to further discuss … (Optional)
· Reviewing a challenging patient encounter.
· Challenges/concerns with my preceptor and/or my clinical site.
· The absence of the application of EBP/CPGs in the clinical setting.
· Challenges with gaining access to enough patients in the required age range.
· Challenges with gaining access to a wide variety of diagnoses for the course population.
· Incorrect action(s) taken by me at the clinical site.
· Locating resources to assist with my clinical experience.
· Anything else . . .
| Topic to Discuss | If any, type your response here – |
### Weekly Clinical Communication NU673 Psychiatric Mental Healthcare I
#### Course Description
This course prepares students to assess, diagnose, and manage mental health care needs across the lifespan. Emphasis will be placed on underlying acute and chronic psychiatric/mental health diagnoses. Clinical opportunities will be utilized for all PMHNP to apply concepts in primary and acute care settings with adults and families.
**Program:** Graduate Nursing
**Student Name:** [Your Name]
**For the week of [date] – [date]**
**Clinical Hours completed this week:** [Hours]
**Patient Encounters completed this week:** [Encounters]
**Total Clinical Hours completed to date:** [Total Hours]
**Total Approved Patient Encounters completed to date:** [Total Encounters]
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#### Clinical Highlights
**Discussion:**
This week, I encountered a particularly interesting case involving a 45-year-old patient diagnosed with major depressive disorder (MDD) and generalized anxiety disorder (GAD). The patient presented with pervasive feelings of hopelessness, sleep disturbances, and severe anxiety episodes. What struck me most was the interplay between depression and anxiety, which required a nuanced approach to both assessment and treatment.
From this encounter, I learned the importance of differentiating between symptoms that overlap and those that are distinct to each condition. It highlighted the need for a comprehensive treatment plan that addresses both disorders simultaneously. I observed my preceptor use a combination of cognitive-behavioral therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs), which proved effective in managing the patient’s symptoms. This experience underscored the value of evidence-based practice and the need for personalized care plans tailored to individual patient needs.
**References:**
1. American Psychiatric Association. (2013). *Diagnostic and statistical manual of mental disorders* (5th ed.). American Psychiatric Publishing.
2. Gorman, J. M. (2016). Comorbid depression and anxiety spectrum disorders. *Depression and Anxiety*, 20(1), 32-41. https://doi.org/10.1002/da.20043
3. National Institute of Mental Health. (2018). Major depression. https://www.nimh.nih.gov/health/statistics/major-depression.shtml
4. Stein, M. B., & Sareen, J. (2015). Generalized anxiety disorder. *New England Journal of Medicine*, 373(21), 2059-2068. https://doi.org/10.1056/NEJMcp1502514
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#### Looking Ahead
**Discussion:**
Next week, I aim to deepen my understanding of bipolar disorder, specifically focusing on differentiating between bipolar I and bipolar II during clinical assessments. I will review the DSM-5 criteria and seek guidance from my preceptor on identifying subtle diagnostic cues.
**Proposed Clinical Schedule:**
– **Date:** [Date]
– **Time:** [Start Time] – [End Time]
– **Total Hours:** [Total Hours]
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#### Topic to Discuss
**Discussion:**
I would like to further discuss the challenges faced in managing patients with comorbid psychiatric conditions, especially when their symptoms overlap significantly, making differential diagnosis complex.
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Please fill in the placeholders with your specific details and adjust any information as needed to reflect your clinical experiences accurately.
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