St Thomas University Realistic Treatment Plan Helen PPT

realistic case study and include appropriate and pertinent clinical information that will cover the following:

  1. Subjective data: 
    • Chief Complaint
    • History of the Present Illness (HPI) includes the presenting problem and the 8 dimensions of the problem. See an example of the correct way to document the psychiatric HPI here. (Links to an external site.)
    • Review of Systems (ROS)
    • Elaborate on this data if it was not provided in the discussion post assignment.
  2. Objective data: 
    • Medications
    • Allergies
    • Past medical history
    • Past psychiatric history
    • Family psychiatric history
    • Past surgical history
    • Social history
    • Labs and Screening tools
    • Vital signs
    • Elaborate on this data if it was not provided in the discussion post assignment.
  3. Assessment: 
    • Primary Diagnosis-DSM5 only
    • Differential diagnosis-DSM5 only
  4. Plan: 
    • Pharmacologic treatment plan
    • Non-pharmacologic treatment plan
    • Follow up plan
  5. Other: 
    • Incorporation of current clinical guidelines
    • Integration of research articles
    • Role of the Nurse practitioner

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