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Week 8 Case 2: Acute Lymphoblastic Leukemia (ALL) CC: Mrs. Derrick is a 78-year-old female who comes to the office with complaints of increasing symptoms of lethargy; fever, night sweats, a 15 lb. weight loss over 6 months; bleeding gums when she brushes her teeth; purplish patches in the skin; and shortness of breath. She…

Assignment Example The Assignment: Complete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following: Subjective: What was the patient’s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter…

 Example Focused SOAP Note Template for Acute Lymphoblastic Leukemia (ALL) Subjective: Chief Complaint (CC): Mrs. Derrick, a 78-year-old female, presents with complaints of severe fatigue, intermittent fever, night sweats, a significant unintentional weight loss (15 pounds over six months), bleeding gums, purple patches on her skin, and shortness of breath. She also reports intensified bone…

 Example Four Patient Information: Name: Bob Age: 34 Sex: Male Occupation: Unemployed Education: High School Marital Status: Single Ethnicity: African American Chief Complaint: Bob complains of difficulty controlling his alcohol consumption. HPI: Bob reports that he started drinking heavily in college but was able to keep it under control until recently. He now drinks every…

 Example Three Patient Name: John Smith Age: 42 Gender: Male Date of Evaluation: 03/13/2023 SUBJECTIVE: The patient, John Smith, presents with a chief complaint of feeling anxious and depressed for the past few months. He reports feeling “down” and “hopeless” most of the time and has trouble sleeping. He admits to using cocaine and alcohol…

Example Two Patient Information Name: Briana Jackson Age: 27 Gender: Male Ethnicity: African American Date of Evaluation: 03/13/2023 Chief Complaint “I feel like I can’t go a day without using cocaine. It’s really affecting my life, and I’m starting to worry about my health.” History of present illness (HPI) Briana Jackson is a 27-year-old African…

Patient Name: John Doe Age: 32 Gender: Male Date of Evaluation: 03/13/2023 Identifying Information The patient is a 32-year-old male who was brought in for evaluation by his wife due to his recent drug use and erratic behavior. He is currently unemployed and lives with his wife and two children. Chief Complaint The patient’s chief…

As an advanced practice nurse, it is important to know how to assess and diagnose patients with substance-related and addictive disorders. To prepare for the assignment, you should review the learning resources provided and become familiar with the Comprehensive Psychiatric Evaluation template. You should also identify a video case study to use for the assignment,…

When conducting a psychiatric evaluation, it is essential to screen the patient’s physical health as it is the first step in diagnosis and treatment. The interconnectedness of physical and mental health is well-established. Poor physical health can lead to an increased risk of developing mental health problems, while poor mental health can negatively impact physical…

When conducting a psychiatric evaluation, screening physical health is crucial for the effective diagnosis and treatment of patients. Poor physical health can lead to an increased risk of developing mental health problems, while poor mental health can negatively impact physical health. By asking the right questions, PMHNPs can better understand their patients’ mental and physical…