Psychiatric Nursing (Nursing 140L)
Case Study Assignment
Spring 2015
For this assignment you are to pick a patient you worked with this quarter and prepare a presentation in give to your clinical seminar. For this assignment I would like you to follow the format below to prepare your presentation. About 50% of the presentation should be focused on the background and treatment recommendations (PART I). The other half should focus on describing the treatment that was given in your clinical setting, your patient’s response to that treatment, and what you would do for this patient if you were planning long-term care for him/her (PART II).
PART I:
Demographics
Source of Referral
Patient-Stated Treatment Goal
Points earned/points possible
/1
/1
/5
Presenting Symptoms
Psychiatric History
Medical History
Ingestion History
Mental Status Exam
Orientation
Appearance
Motor
/3
/3
/2
/1
/20
Speech
Affect
Thought content
Thought process
Perception
Intellect
Insight
Lifestyle Implications
Clinical Impression
Diagnostic Impression
Axis I: Axis II: Axis III: Axis IV: Axis V
Treatment Recommendation
Psychopharmacological
Psychological
PART II:
Treatment given in clinical setting (is it evidence-based?)
Summary of response to treatment
Long-term treatment planning
Mental health promotion
/1
/3
/5
/5
/15
/10
/15
/10
TOTAL POINTS/ TOTALPOSSIBLE POINTS /100