Instructions Each week students will choose one patient encounter to submit a Follow-up SOAP note for review. Follow the rubric to develop your SOAP notes for this term. The focus is on your ability to integrate your subjective and objective information gathering into formulation of diagnoses and development of patient-centered, evidence-based plans of care for patients of all ages with multiple, complex mental health conditions. At the end of this term, your SOAP notes will have demonstrated your knowledge of evidence-based practice, clinical expertise, and patient/family preferences as expected for an independent nurse practitioner incorporating psychotherapy into practice.

Group psychotherapy or therapy is a form of psychotherapy where one or more therapists simultaneously treat a group of clients with the same problems. Group therapy is widely available in various locations, including hospitals, private therapeutic practices, community centers, and mental health clinics. It usually aims at helping individuals develop socialization and communication skills and allow them to learn how to express their issues with group members while accepting criticism from them. Additionally, it allows the group members to develop self-awareness by listening to the people within the group that has faced and overcome similar situations. The selected group psychotherapy video for this assignment is Dr. Irvin Yalom

Positive Feedback for the Therapist The therapist used a structured style of therapy wherein they have stated rules in the beginning of the session. Having rules and regulations would help the patients know the expectations of the group therapy and give them a sense of responsibility and discipline. Explaining guidelines and privacy is also helpful and giving patients more confidence in opening up about their situation and to be more interactive in the therapy. Agenda of the session was also discussed in an objective manner. Assessing patient’s feelings through using a rating scale, gives the therapist a way to measure their feelings better. Recapping on previous therapy session is alsohelpful in building accountability into therapy sessions and evaluate the knowledge and progress of the patients.

One of the vital types of psychotherapy is group therapy. Group therapy involves doing psychotherapy in groups and also being in an interdisciplinary team such as having one or more therapist that assist a group of people in an integrating comprehensive treatment plan. In group therapy, every individual can find safety and comfort knowing that they find similarities in each other despite of their beliefs, culture, and color. It also creates a learning environment where they will learn different coping skills that have worked with their peers and how they are able to apply it in their individual lives.

The therapeutic modality I will be discussing with this paper is Extracorporeal Membrane Oxygenation, or ECMO. This therapeutic modality is one that requires specific training above and beyond general entry-level nursing education as it deals with very complex technology and is utilized in patients with a severe condition that could potentially be life-threatening and must be handled delicately. An example of a case study in which this therapeutic modality would be utilized is an 80-year-old female client who is experiencing myocarditis, or inflammation of the heart muscle. The patient is frail and having difficulty breathing, fainting, experiencing chest pain, and is feeling lightheaded and fatigued

According to the National Alliance on Mental Illness or NAMI, approximately 16 million adults in America have had at least one major depressive episode within the last year (NAMI, 2017). Depression is the most common mental disorder and can affect those of any age, race, gender or socioeconomic status, although some groups are affected more than others. Many agree that women are more susceptible to depression as are those of a lower socioeconomic status. The symptoms of depression differ from one person to the next, but most commonly the symptoms include alterations in sleep, changes in appetite, feelings of sadness, decreased energy levels, and a lack of interest in things that were once enjoyable. The worst outcome of depression is suicide, with depression being the leading cause of suicide. Depression and its treatments have a significant monetary impact on our healthcare systems

The very nature of the intensive care unit (ICU) setting implies aggressive, life-sustaining treatments for all patients, no matter the cost. As the aging population grows and lives longer with chronic illness, the use of acute care medicine and ICU admissions in the last 6 months of life continues to rise (Wessman et al., 2017). According to Leung et al., 5 to 10% of chronically ill older adults with a high risk of mortality consume an average of 20-40% of an intensive care units’ resources.

The Impact of COVID on Mental Health Coronavirus (COVID) has affected and claimed the lives of millions, placing the United States (US) in a pandemic. The virus began spreading in 2019 and has since accumulated variants that continue to run rapid in 2022. COVID is known for causing respiratory distress, but it also causes mental distress. US citizens living in fear experiencing; anxiety, stress, depression, paranoia, suicide, etc?

Theoretical & Ethical Basis of Practice Paper Theories made up of a framework that guided the science of nursing. These theories are based on the formation of concepts and purposes to define what nursing is, to identify nursing interventions and understand the reasons behind it. According to Beauchamp and Childress (2013), autonomy, nonmaleficence, beneficence, and justice are essential principles of the ethical nursing framework. The primary objective of the paper is to elaborate on the author's view as an advanced practice nurse (APN) on her phenomenon of interest (POI) of postpartum depression (PPD).

Current events in the world surrounding COVID-19 give us a spell-binding view of government officials attempting to protect the populace, while medical personnel use all available techniques for saving lives. The ethical dilemma grows as people demand to try ‘whatever works,’ while scientists cling to standards of practice, with theory and ethics being plastered all over the daily news.

Phenomenon of Interest Major Depressive Disorder (MDD) is a mood disorder characterized by loss of interest, pleasure or mood along with feelings of sadness, worthlessness, and symptoms of fatigue, loss of appetite, insomnia, and irritability, that affect normal activities of daily living, and lasting for at least two weeks (Qaseem. 2016). Major Depressive Disorder is a significant health care problem in the United States, and one of the leading causes of disability in adults, resulting in substantial costs to health care systems (Oaseem, 2016).

Comprehensive Assessment of Adolescent

Comprehensive Assessment of Adolescent Informed consent given to (mother) patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and written consent obtained. Patient has the ability/ capacity to respond and appears to understand the risk, benefits and (Will review additional consent during treatment plan discussion) Identifying data Name: Jack Doe Age: 16 years Sex: male Race: Black or African Ame

Comprehensive Assessment of Mood Disorder To establish an appropriate treatment plan, a complete client evaluation is necessary and may be carried out during the initial sitting (Wheeler, 2014). It's a comprehensive evaluation that takes the client's social, physical, family, and mental background into consideration and will assist the client establish a personal connection. The client's needs and the physician's treatment decisions are determined by a complete assessment (Phillips, Frank, Loftin, & Shepherd, 2017). The primary goal of this article is to present a complete client evaluation that includes differential diagnosis and a treatment plan for a client who has been watched or counseled. Subjective:

Initial Psychiatric Interview/SOAP Note Template NU 673 UNIT 11 SOAP NOTE There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting. Criteria Clinical Notes Informed Consent Informed consent given to patient about psychiatric interview process and psychotherapy treatment. Verbal and Written consent obtained. Patient the ability/capacity to respond and appears to the risk, benefits, and (Will review additional consent during treatment plan discussion) Subjective Verify Patient Name: XX DOB: 12/11/1990 Minor: Accompanied by: Demographic: Patient is a 32 year old white male who is married with two children living at home. Gender Identifier Note: Patient identifies as a male. CC: I lost my job due to not having a way to work and now we are about to be evicted from our home. I have really been feeling down. HPI: Patient states he has lost interest in things that he normally likes to do. Patient also states that the loss of his job is causing issues between him and his wife. Patient states he lost his job about two weeks ago. The loss of the patien

Entry 5 This entry is to reflect on the previous 4 entries and evaluate my progress. This will help develop recognition of their own feelings, prejudices, biases, triggers, anxieties, limitations, and of course strengths while developing the ability to appropriately manage these issues as they arise and how to best align your strengths to overcome your limitations.

Entry 4 This week at clinical was an eight-hour clinical on Monday. This was a very busy day at the clinic for my preceptor. My preceptor is very insightful on helping me determine which patients to interviewing and giving me time to help decide my treatment plan. The review session with my preceptor is very informative in regard to helping me develop clinical judgement

Entry 3 This week at clinical was more consistent with completing 20 hours on consecutive days. My preceptor gave me a task to interview a difficult resident at a skilled nursing facility. This individual is a 48-year-old male in the SNF due to car wreck and requiring rehab. This rehab stay turned into long term due to no family capable of taking care of him due to his mental illnesses. I interviewed the patient for a full hour session in his room. The difficult part was listening to him tell his life story.

Entry 2 I have experienced several individuals who dislike me for my queer mannerisms and choice of sexuality. Although, I never disclose this information the individuals always assume I am homosexual. The numerous times I have encountered individuals in my nursing career who refuse care or disrespect me due to this assumption has caused me anxiety. I selfreflect myself daily to make myself aware of my judgements, to be able to treat the individuals in

Describe your past experience in mental health or with someone with mental illness. ? What are the reasons you have chosen to work with this population? ? Discuss any concerns you have regarding this specific clinical course and population Adult/Geriatric. ? Identify personal and academic/professional goals for the clinical course and population Adult/Geriatric.