Assignment: Focused SOAP Note for
\nSchizophrenia Spectrum, Other Psychotic,
\nand Medication-Induced Movement
\nDisorders
\nCase Study: Sherman Tremaine
\nAssignment: Focused SOAP Note for
\nSchizophrenia Spectrum, Other Psychotic,
\nand Medication-Induced Movement
\nDisorders
\nCase Study: Sherman Tremaine<\/p>\n
Psychotic disorders change one\u2019s sense of reality and cause
\nabnormal thinking and perception. Patients presenting with
\npsychotic disorders may suffer from delusions or
\nhallucinations or may display negative symptoms such as lack
\nof emotion or withdraw from social situations or relationships.
\nSymptoms of medication-induced movement disorders can be
\nmild or lethal and can include, for example, tremors, dystonic
\nreactions, or serotonin syndrome.
\nFor this Assignment, you will complete a focused SOAP note
\nfor a patient in a case study who has either a schizophrenia
\nspectrum, other psychotic, or medication-induced movement
\ndisorder.
\nTo Prepare
\nReview this week\u2019s Learning Resources. Consider the
\ninsights they provide about assessing, diagnosing, and
\ntreating schizophrenia spectrum, other psychotic, and
\nmedication-induced movement disorders.
\nPhoto Credit: Getty Images\/Wavebreak Media
\nReview the Focused SOAP Note template, which you will use
\nto complete this Assignment. There is also a Focused SOAP
\nNote Exemplar provided as a guide for Assignment
\nexpectations.
\nReview the video, Case Study: Sherman Tremaine. You will
\nuse this case as the basis of this Assignment. In this video, a
\nWalden faculty member is assessing a mock patient. The
\npatient will be represented onscreen as an avatar.
\nConsider what history would be necessary to collect from this
\npatient.
\nConsider what interview questions you would need to ask this
\npatient.
\nThe Assignment
\nDevelop a focused SOAP note, including your differential
\ndiagnosis and critical-thinking process to formulate a primary
\ndiagnosis. Incorporate the following into your responses in the
\ntemplate:
\n10\/1\/22, 8:13 AM ANSWERED!! Case Study: Sherman Tremaine
\nhttps:\/\/assignmenthelpbureau.com\/case-study-sherman-tremaine\/ 3\/10
\nSubjective: What details did the patient provide regarding
\ntheir chief complaint and symptomology to derive your
\ndifferential diagnosis? What is the duration and severity of
\ntheir symptoms? How are their symptoms impacting their
\nfunctioning in life?
\nObjective: What observations did you make during the
\npsychiatric assessment?
\nAssessment: Assignment help – Discuss the patient\u2019s mental status
\nexamination results. What were your differential diagnoses?
\nProvide a minimum of three possible diagnoses with
\nsupporting evidence, and list them in order from highest
\npriority to lowest priority. Compare the DSM-5 diagnostic
\ncriteria for each differential diagnosis and explain what DSM5 criteria rules out the differential diagnosis to find an
\naccurate diagnosis. Explain the critical-thinking process that
\nled you to the primary diagnosis you selected. Include
\npertinent positives and pertinent negatives for the specific
\npatient case.
\nPlan: What is your plan for psychotherapy? What is your plan
\nfor treatment and management, including alternative
\ntherapies? Include pharmacologic and nonpharmacologic
\ntreatments, alternative therapies, and follow-up parameters,
\nas well as a rationale for this treatment and management
\nplan. Also incorporate one health promotion activity and one
\npatient education strategy.
\nReflection notes: What would you do differently with this
\npatient if you could conduct the session again? Assignment help – Discuss what
\nyour next intervention would be if you were able to follow up
\nwith this patient. Also include in your reflection a discussion
\nrelated to legal\/ethical considerations (demonstrate critical
\nthinking beyond confidentiality and consent for treatment!),
\nhealth promotion, and disease prevention, taking into
\nconsideration patient factors (such as age, ethnic group, etc.),
\nPMH, and other risk factors (e.g., socioeconomic, cultural
\nbackground, etc.).
\nProvide at least three evidence-based, peer-reviewed journal
\narticles or evidenced-based guidelines that relate to this case
\nto support your diagnostics and differential diagnoses. Be
\nsure they are current (no more than 5 years old).
\nEXPERT ANSWER AND EXPLANATION
\n10\/1\/22, 8:13 AM ANSWERED!! Case Study: Sherman Tremaine
\nhttps:\/\/assignmenthelpbureau.com\/case-study-sherman-tremaine\/ 4\/10
\nSOAP Note for Schizophrenia
\nPatient Initials: Sherman Tremaine Age: 53 years Gender:
\nMale
\nSUBJECTIVE DATA:
\nChief Complaint (CC): \u201cHe was made to come in by his
\nsister.\u201d
\nHistory of Present Illness (HPI): Sherman Tremaine is a 53-
\nyears-old African American male who visited my office saying
\nthat he was made to come in by his sister. Sherman notes
\nthat people have been watching him for weeks and his taxes
\nhave raised. He says that the government sent these people
\nto watch him. The patient\u2019s symptoms alleviate when he
\nlistens to music.
\nMedical trials and Current Medications:
\nNo medical trials but reports using Haldol, Thorazine, and
\nSeroquel previously. Takes metformin for diabetes.
\nAllergies: Denies food, environmental, or drug allergies.
\nPast Medical History: The patient was diagnosed with
\ndiabetes and fatty liver.
\nPast Psychiatric\/Physical History (PMH): Have been in the
\nhospital three times though when he was 20.
\nPast Surgical History (PSH): No past surgeries.
\nPersonal\/Social History: The patient smokes three packets
\na day, drunks 12 packets of alcohol a week, and used
\nmarijuana last three years ago. Denies substance abuse.
\nHistory of Violence: His dad was abusive.
\nImmunization History: The patient does not remember
\nimmunization dates.
\n10\/1\/22, 8:13 AM ANSWERED!! Case Study: Sherman Tremaine
\nhttps:\/\/assignmenthelpbureau.com\/case-study-sherman-tremaine\/ 5\/10
\nSignificant Family History: The patient is single, never
\nmarried, and has no children. The patient\u2019s mother had
\nanxiety and father had paranoid schizophrenia.
\nLifestyle: The patient has his sister has his main social
\nsupport.
\nReview of Systems:
\nGeneral: Denies fatigue, fever, weight changes, or weakness.
\nRespiratory: No shortness of breath, sputum, or
\ncough.
\nCardiovascular\/Peripheral Vascular: No chest pain
\nor chest discomfort.
\nPsychiatric: Positive for sleeping problems.
\nNeurological: No headache or other neurological
\nproblems.
\nSkin: No sores, dryness, or rashes.
\nOBJECTIVE DATA:
\nPhysical Exam:
\nVital signs: Wt. 180lbs, Ht. 5\u20198\u2019\u2019, T 36.4, HR 76, HH 18, BP
\n134\/98
\nGeneral: Sherman is oriented to place, date, and people.
\nHowever, the patient does not know whether today is
\nWednesday or Thursday. The patient is well groomed and
\nwears clothes that conforms to weather of the day and climate
\nof the year. The patient answers most questions correctly.
\nChest\/Lungs: Regular heart rhythm and rate. No murmurs.
\nHeart\/Peripheral Vascular: Lungs clear. No wheezes, chest
\ncracks, or rhonchi.
\n10\/1\/22, 8:13 AM ANSWERED!! Case Study: Sherman Tremaine
\nhttps:\/\/assignmenthelpbureau.com\/case-study-sherman-tremaine\/ 6\/10
\nPsychiatric: The patient experiences hallucinations and
\ndelusions. He says that there are people outside his window
\nwatching him. He notes that these people were sent by the
\ngovernment. He says that he hears loud voices and also
\nnotes that people from his TV want to poison him but he tricks
\nthem.
\nDiagnostic Tests
\nMRI-Pending
\nDSM-5-Schizophrenia
\nPSYRATS \u2013 Hallucinations Subscale-Positive for
\nhallucinations.
\nPSYRATS \u2013 Delusions Subscale-Positive for delusions
\nASSESSMENT:
\n1. Schizophrenia-Primary disorder for this case.
\n2. Brief Psychotic Disorder
\n3. Schizoaffective Disorder
\n4. Delusional Disorders
\nThe primary diagnosis for this case is schizophrenia.
\nAccording to Ng et al. (2019), symptoms of schizophrenia
\ninclude disorganized speech, delusions, catatonic behavior,
\nnegative symptoms, and hallucinations. According to DSM-5,
\none must experience at least two of the five symptoms for
\nthem to be said to have schizophrenia (American Psychiatric
\nAssociation, 2013). The patient has hallucinations and
\ndelusions, making the disorder a primary diagnosis. The
\ndiagnosis has also been supported by PSYRATS, a mental
\nhealth tool used to assess patients\u2019 mental status (Chong et
\nal., 2020).
\nPLAN:
\nTreatment Plan: I would recommend that the patient be
\nprescribed Invega Sustenna 234 mg intramuscular X1. The
\nmedication can improve the patient\u2019s heath by improving his
\n10\/1\/22, 8:13 AM ANSWERED!! Case Study: Sherman Tremaine<\/p>\n
judgment, thinking, and mood (Pesa et al., 2017). Apart from
\nmedication, the patient will also be advised to go for talk
\ntherapy once a week. Galbusera et al. (2018) note that a
\ncombination of talk therapy and medication can highly
\nimprove the mental health of schizophrenic patients.
\nHealth Promotion: The patient should avoid smoking and
\nalcohol.
\nFollow-Up: The patient should come for re-evaluation and
\ncheck-up after four weeks.
\nREFLECTION:
\nIf I was given another chance to work on the case, I would
\nhave recommended that the patient be taken to a
\npsychologist for counseling. A combination of medication and
\ntherapy can improve the health of the patient.
\nReferences
\nAmerican Psychiatric Association. (2013). Diagnostic and
\nstatistical manual of mental disorders (5th ed). Arlington, VA:
\nAmerican Psychiatric Publishing.
\nChong, B., Wahab, S., Muthukrishnan, A., Tan, K. L., Ch\u2019ng,
\nM. L., & Yoong, M. T. (2020). Prevalence and Factors
\nAssociated with Suicidal Ideation in Institutionalized Patients
\nwith Schizophrenia. Psychology research and behavior
\nmanagement, 13, 949\u2013962.
\nhttps:\/\/doi.org\/10.2147\/PRBM.S266976
\nGalbusera, L., Finn, M. T., & Fuchs, T. (2018). Interactional
\nsynchrony and negative symptoms: An outcome study of
\nbody-oriented psychotherapy for schizophrenia.
\nPsychotherapy Research, 28(3), 457-469.
\nhttps:\/\/doi.org\/10.1080\/10503307.2016.1216624
\nNg, Q. X., Soh, A. Y. S., Venkatanarayanan, N., Ho, C. Y. X.,
\nLim, D. Y., & Yeo, W. S. (2019). A systematic review of the
\neffect of probiotic supplementation on schizophrenia
\n10\/1\/22, 8:13 AM ANSWERED!! Case Study: Sherman Tremaine<\/p>\n
symptoms. Neuropsychobiology, 78(1), 1-6.
\nhttps:\/\/www.karger.com\/Article\/Abstract\/498862
\nPesa, J. A., Doshi, D., Wang, L., Yuce, H., & Baser, O.
\n(2017). Health care resource utilization and costs of California
\nMedicaid patients with schizophrenia treated with paliperidone
\npalmitate once monthly or atypical oral antipsychotic
\ntreatment. Current Medical Research and Opinion, 33(4)<\/p>\n","protected":false},"excerpt":{"rendered":"
Assignment: Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders Case Study: Sherman Tremaine Assignment: Focused SOAP Note for Schizophrenia Spectrum, Other\u2026<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1738,2474,2482,1563,2516,2499],"tags":[2501,2518,2477,2519,2520],"class_list":["post-9852","post","type-post","status-publish","format-standard","hentry","category-help-me-with-social-psychology-assignment","category-psyc-essays","category-psyc-paper-writing-service","category-psychology-case-study-examples","category-sociology-essays","category-write-my-psychology-papers","tag-psy-papers","tag-psych-research-paper-sample","tag-psychology-assignment","tag-psychology-dissertation-writing","tag-psychology-research-paper"],"_links":{"self":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/9852","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/comments?post=9852"}],"version-history":[{"count":0,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/9852\/revisions"}],"wp:attachment":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/media?parent=9852"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/categories?post=9852"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/tags?post=9852"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}