Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

My Strength – Not reading verbatim, having personality, and making eye contact

What I need to improve on – I tend to say um alot and i tend to get nervous

 

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                    “Captain of the Ship” Project – Obsessive-Compulsive Disorders

In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder.

Learning Objectives

Students will:

· Recommend psychopharmacologic treatments based on therapeutic endpoints  

  for clients with obsessive-compulsive disorders

· Recommend psychotherapy based on therapeutic endpoints for clients with 

  obsessive-compulsive disorders

· Identify medical management needs for clients with obsessive-compulsive 

  disorders

· Identify community support resources for clients with obsessive-compulsive 

  disorders

· Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

· Select an adult or older adult client with an obsessive-compulsive disorder you 

   have seen in your practicum.

  In 3–4 pages, write a treatment plan for your client in which you do the following:

· Describe the HPI and clinical impression for the client.

· Recommend psychopharmacologic treatments and describe specific and 

  therapeutic endpoints for your psychopharmacologic agent. (This should relate 

  to HPI and clinical impression.)

· Recommend psychotherapy choices (individual, family, and group) and specific 

  therapeutic endpoints for your choices.

· Identify medical management needs, including primary care needs, specific to  

  this client.

· Identify community support resources (housing, socioeconomic needs, etc.) and 

  community agencies that are available to assist the client.

· Recommend a plan for follow-up intensity and frequency and collaboration with  

  other providers.

· Remember to include Introduction and Conclusion

  Learning Resources

 

  Required Readings

  Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of 

 psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA:  

 Wolters Kluwer. Chapter 10, “Obsessive-Compulsive and Related      Disorders” (pp. 418–436)

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 21, “Obsessive-Compulsive Disorder”

  

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. “Obsessive-Compulsive and      Related Disorders”

                                                                                                                                                                                                                                                                                                                                 

Required Media

Bruce, T. & Jongsma, A. (Producers). (n.d.) Evidence-based treatment planning for obsessive compulsive disorder [Video file]. Mill Valley, CA: Psychotherapy.net.

  

 

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John is a 76-year-old man with a long history of stable angina and hypertension. He is prescribed nitroglycerin tablets as needed for chest pain and lisinopril for his hypertension. John has noticed that his chest pain is occurring with increasing frequency and less activity is required to initiate the symptoms; however, the pain subsides quickly with rest and one or two nitroglycerin tablets.

John is awakened from sleep with chest pain and shortness of breath. The pain is much more severe than his usual anginal pain and radiates to the jaw and the left arm. He experienced some nausea and became diaphoretic and pale. Upon admission to the local emergency department, he was noted to have significant ST-segment elevation on a 12-lead electrocardiogram (ECG).

Discussion Questions:

1. What diagnosis is consistent with John’s history and physical exam?

2. Please differentiate between a STEMI and Non-STEMI.

3. What are the pathophysiological findings specifying an MI?

4.What are the differences between angina, silent ischemia, and myocardial ischemia?

5.Provide a description of the three factors associated with Sudden Cardiac Death.

6.What are the possible complications post-MI might the NP be aware of when caring for John?

 

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cardiogenic shock paper

 

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