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Assignment 1: Clinical Hour and Patient Logs

Assignment 1: Clinical Hour and Patient Logs Assignment 1: Clinical Hour and Patient LogsAssignment 1: Clinical Hour and Patient LogsAssignment Instructions:I need 16 small individual psychotherapy clinical notes (one paragraph), each note should include: CC, small mental status, and progress achieved during the visit. Please review the below example, doesn’t have to exactly as the example but close enough.Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounterCan be adult male or female age between 18 to 65, with any (1 or more) of the following diagnosis:ORDER A PLAGIARISM-FREE PAPER HEREExample:(Fem, -49 Mood Disorder, Anxiety Disorder)49-year-old patient with depressive disorder associated to monetary problems due to the loss of one of her jobs, patient has only a part time position. Patient is here today for a follow-up consultation.The patient said, “I’m feeling better, I’m not so concerned about my late payments, since I start the financial help”. In today’s consultation session, the patient appears awake, alert, and oriented x 4Assignment 1: Clinical Hour and Patient Logs.  Dressed well with good hygiene and good eye contact.  She presents with spontaneous speech normal rate and volume, relevant, coherent.  Mood is a little anxious.  Affect is mood congruent.  Thought process is concrete.  Thought content is linear and coherent. Patient reported that she had been performing all the activities to further decrease depression. Patient showed improvements in mood, which was the main objective to achieve this week. The patient’s mood has continually improved for the past three weeks. The symptoms of depression have decreased, as per patient’s reports crying less, and improving her sleep time. The patient was encouraged to continue with follow-up psychotherapy. Individual psychotherapy and follow up scheduled next week to continue improving the patient’s condition.Assignment 1: Clinical Hour and Patient LogsClinical Hour and Patient LogsWeek 5: Psychotherapy for Eating, Sleeping, and Elimination DisordersAnorexia NervosaName: S.NAge: 26 years oldDiagnosis: Anorexia NervosaS: S.N is a 26-year-old Caucasian female who presented to the clinic complaining of recurrent episodes of vomiting and gradual weight loss over the past year. She also reports menstrual irregularities and amenorrhea over the past 6 months. She has been married for about 5 years. Her husband has been consistently criticizing her body weight. She is dull most of the time, with reduced energy levels to go about daily activities. She sometimes has trouble sleeping, as a result of the comments made by her husband concerning her body weight. The patient reports not taking any medication for her current symptoms. She denies a history of any serious present or past medical condition. She has never been hospitalized before. She reports being allergic to amoxicillin. She denies the use of tobacco, or alcohol, or any other illicit drug or drug of abuse. She is educated up to the 10th standard and is currently a homemaker. She is religious and rides bicycles during her leisure time.Assignment 1: Clinical Hour and Patient LogsO: With symptoms of amenorrhea and weight loss, the patient was evaluated by a physician. Several investigations were carried out in the background of suspected tuberculosis, abdominal tumor, and anemia. All the investigations were however within normal limits except for low hemoglobin levels.A: The assessment findings reveal uncooperative character from the patient during the interview. With persistent probing, she displayed apathy, low mood, decreased attention, easy fatigability, and pessimistic ideas about the future. The patient denied suicidal ideation or unusual perceptual experience. The cause of the patient’s symptoms is based on both physical and psychiatric evaluation directed towards anorexia nervosa.Assignment 1: Clinical Hour and Patient LogsP:  Both phycological and pharmacological interventions were considered. The patient was referred to a psychiatrist for cognitive behavioral therapy (CBT) to help with her weight and appropriate eating habits. She was also given antiemetics and multivitamins to help with her appetite and vomiting. She was asked to report back to the clinic after 4 weeks for a review of the treatment outcome.Assignment 1: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical Hour LogFor this course, all practicum activity hours are logged within the Meditrek system. Hourscompleted must be logged in Meditrek within 48 hours of completion in order to becounted.You may only log hours with Preceptors that are approved in Meditrek. Students withcatalog years before Spring 2018 must complete a minimum of 576 hours of supervisedclinical experience (144 hours in each practicum course). Students with catalog yearsbeginning Spring 2018 must complete a minimum of 640 hours of supervised clinicalexperience (160 hours in each practicum course).Each log entry must be linked with an individual practicum Learning Objective or agraduate Program Objective. You should track your hours in Meditrek as they arecompleted.Assignment 1: Clinical Hour and Patient LogsYour clinical hour log must include the following: Dates Course Clinical Faculty Preceptor Total Time (i.e., for the day) Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. Youmust record at least 80 encounters with patients by the end of this practicum (40children/adolescents and 40 adult/older adult).The patient log must include the following: Date Course Clinical Faculty Preceptor Patient Number Client Information Visit Information Practice Management Diagnosis Treatment Plan and Notes: You must include a brief summary/synopsis of thepatient visit. This does not need to be a SOAP note, however the note needs to besufficient to remember your patient encounter.By Day 7 of Week 2Record your clinical hours and patient encounters in Meditrek.Assignment 1: Clinical Hour and Patient LogsLearning ResourcesRequired Readings (click to expand/reduce)American Academy of Child and Adolescent Psychiatry. (n.d.). Toolbox of forms.Retrieved November 18, 2020, from Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). AmericanGeriatrics Society 2019 updated AGS Beers Criteria for potentially inappropriatemedication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694., D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer. Section I. General Principles of Effective Interviewing (Chapters 1–13) Section III. Interviewing for Diagnosis: The Psychiatric Review of Symptoms(Chapters 19–22) Appendixes A–CMeditrek Use this link to log into Meditrek to report your clinical hours andpatient encounters.Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., Gogineni, R.R., Webb, S., Smith, J., & American Academy of Child and Adolescent PsychiatryCommittee on Quality Issues. (2013). Practice parameter for cultural competence in childand adolescent psychiatric practice. Journal of the American Academy of Child andAdolescent Psychiatry, 52(10), 1101–1115. University Academic Skills Center. (2017). Developing SMART goals. Practicum Experience Plan Template (Word document)Reminder: Introductory CommunicationPhoto Credit: Ellagrin / iStock / Getty Images Plus / Getty ImagesThis week, you must coordinate an introductory email with your Clinical Faculty andPreceptor. The purpose of this communication is for orientation and onboarding, goalsdiscussion, and questions.Assignment 1: Clinical Hour and Patient LogsBy Day 7 of Week 2Complete your orientation email. Attach your clinical schedule calendar developed inWeek 1 in your email. Include a summary of your goals and objectives for this practicumexperience. Assignment 1: Clinical Hour and Patient Logs

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