Identifying data and chief complaint

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Reference no: EM133927494

Case Presentation Paper

Case Presentation Paper (CO: 1-9): Students are required to complete a case presentation paper guided by a Nursing Theorist or Psychodynamic Theory to inform clinical care. The paper must adhere to APA 7th edition format and will be evaluated for correct grammar, spelling, and overall scholarly writing. A minimum of three current references, published within the past five years, must be used to support clinical reasoning and decision-making. Get the best assignment help from our pro-writers.

All identifying data should be limited to the individual's initials to protect confidentiality. The paper must include the following components: identifying data, chief complaint, history of present illness, psychiatric history, personal and social history, mental status examination, suicide/homicide risk assessment, medical history, allergies, current medications, review of systems, history of abuse or trauma, DSM-5-TR diagnosis, application of a nursing theory or psychodynamic approach, treatment plan and goals, education and referrals, conclusions and summary, and a reference list. Emphasis will be placed on the integration of evidence-based data throughout the assessment.

CASE PRESENTATION REQUIREMENTS

Please use APA 7th edition format. The paper will be reviewed for correct grammar and spelling.
Use a Nursing Theorist or Psychodynamic Theory to guide your care.
Must have three current references from the past 5 years.
Must include the following elements:

Use of APA 7th edition format and grammar Identifying data, but only use the individual's initials Chief Complaint (CC)
History of Present Illness (HPI)

Psychiatric History and Substance Use History Personal and Social History
Mental Status Examination

Suicide and Homicide Assessment Medical History
Allergies

Current Medications Review of Systems
History of Abuse, Neglect, and Trauma Mental Status Examination Assessment i.e. DSM 5-TR Diagnosis
Nursing Theory/Psychodynamic Approach Treatment Plan and Goals
Education and Referrals Conclusions and Summary
References page including evidenced-based data

Reference no: EM133927494

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