Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Shadow health mental health documentation

07/10/2021 Client: muhammad11 Deadline: 2 Day

Shadow Health Mental Health

Professional Development

Write a 1000-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:
What went well in your assessment?
What did not go so well? What will you change for your next assessment?
What findings did you uncover?
What questions yielded the most information? Why do you think these were effective?
What diagnostic tests would you order based on your findings?
What differential diagnoses are you currently considering?
What patient teaching were you able to complete? What additional patient teaching is needed?
Would you prescribe any medications at this point? Why or why not? If so, what?
How did your assessment demonstrate sound critical thinking and clinical decision making?

Mental Health Results | Turned In Advanced Physical Assessment - March 2020, advanced_physical_assessment__td8__031720__sect1

Return to Assignment (/assignments/313479/)

(/site_notice_dismissals?from_flash=true&site_noticShadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience!

Documentation / Electronic Health Record

Document: Provider Notes

Student Documentation Model Documentation

Your Results Lab Pass (/assignment_attempts/6690008/lab_pass.pd

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Document: Provider Notes

https://aspen.shadowhealth.com/assignments/313479/
https://aspen.shadowhealth.com/site_notice_dismissals?from_flash=true&site_notice_id=418
https://aspen.shadowhealth.com/assignment_attempts/6690008/lab_pass.pdf
Student Documentation Model Documentation

Subjective

Ms. Tina Jones is a 28yo pleasant AA female. She is alert, well- groomed. Speech is fluent and words are clear. Thought process are coherent, insight is good. She maintaines eye contact during our interview. She presents to the clinic c/o difficult sleeping this past month, and is occuring more often this past 3 1/2 weeks. She reports feeling "nervous, excessive working before bedtime" She feels "on edge" due to lack of sleep. She sleeps an average fo 4-5 hours, and is awake by 8am. She sleeps like a "log" when she has fallen asleep. She watches tv and reads book to assist with her sleep. She does not take naps. She drinks four diet coke daily, last intake at 4pm. Social Hx: stress in her life, due to upcoming exams and job search after graduation. She has support from her family, friends and her church members whom she sees twice a week. Father passed away, felt sad, and is coping well. No counseling, but felt she did not need one for her griefing process. Drug use: hx of thc use at 20 years old: stopped. No tobacco use. ETOH: socially. She does not exercise, for she gets tired with work and school. No medications used for insomnia. ROS: Loss of appetite, probably due to her feeling tired. Has increase fatigue in the daytime. Has changes in concentration due to fatigue. PMHX: Diabetes: no meds Asthma: on albuterol and proventil : controlled asthma Mental health: denies depression, sucidal thoughts or homicidal ideation. no hx of anxiety except for today due to upcoming exams and future job searc. Does feel her mood has been "off" and does not feel like herself. She denies tension or memory loss. Family hx: No mental illness, only Uncle with alcoholism.

HPI: Ms. Jones presents to the clinic complaining of difficulty sleeping which she notes to have started 1 month ago. She state that her sleep is “shallow and not restful”. She complains of diffic falling asleep at least 4 or 5 nights per week, but states that she able to stay asleep without difficulty. On average she sleeps 4 or hours per night and awakens at 8:00am daily. She states that she has a fairly consistent schedule on weekdays and weekends. Sh does not take any prescription or over the counter sleep aids. Sh limits screen time prior to bed and does not ingest caffeine after 4pm daily. She endorses decreased feelings of sleepiness over t past month. She denies difficulties awaking, but does not feel res in the morning and has daytime fatigue (rates 5/10 severity), restlessness, and irritability (rates 2/10 severity). She does not ta naps. Social History: She states that she has some stress related to he upcoming examinations and her impending job search upon graduation. She states that she has a strong support system ma up of friends and family and she is active in her church. She state that she copes with stress by staying organized. She enjoys read and watching television (1-2 hours per day). She states that her father died in a car accident a year and a half ago, which was difficult for her and she experienced some difficulties with sleep that time as well. She denies use of tobacco. She drinks approximately 10-12 alcoholic beverages per month, but never m than 3 per sitting and does not note any impact on her sleep. Sh has used marijuana in the past, but no current use and denies ot illicit drugs. She does not exercise regularly, but states that her jo somewhat active and she walks 5-15 minutes daily. She drinks 1 diet colas per day. Family History: Denies any history of known sleep disorders or psychiatric disorders. Review of Systems: • General: Denies changes in weight, weakness, fever, chills, and night sweats. Does complain of increasing daytime fatigue. • Neurologic: Denies loss of sensation, numbness, tingling, tremo weakness, paralysis, fainting, blackouts, or seizures. Endorses changes in concentration and sleep. Denies changes or difficultie coordination. • Psychiatric: States that her mood has been “off” and she does feel like herself. She does complain of increased anxiety related t upcoming exams and job search. She has no history of depressi but does state that she feels helpless and notes that her performance at work and school is beginning to decline. She den tension or memory loss. No past suicide attempts. Denies suicid homicidal ideation.

Assessment

Insomnia related to anxiety Sleep disturbance related to anxiety

Student Documentation Model Documentation

Plan

Encourage a diary of her episodes of insomnia and anxiety: stating associated factors and what helps with the anxiety Offer cognitive behavioral therapy (CBT) Educate on anxiety reduction strageties including deep breating, relaxation and guided imagery. Offer consultation to behavioral Health Specialist Encourage diet and exercise regimin Decrease caffeine intake Offer telephone appointment to check in with her in a week Give warning signs on when to seek for help, as in inability to care for self, depression, anxiety or sucidal ithoughts.

• Encourage Ms. Jones to continue to monitor symptoms and log episodes of insomnia and anxiety with associated factors and br log to next visit. • Encourage to decrease caffeine consumption and increase inta of water and other fluids. • Educate on anxiety reduction strategies including deep breathin relaxation, and guided imagery. Continue to monitor and explore need for possible referral to social work/psychiatry or pharmacol intervention. • Discuss need to maintain regular sleep and wake schedule and sleep hygiene techniques including limiting caffeine after 2pm, limiting fluids after dinner, limiting screen time or stimulating activities after 8pm, and to get out of bed if awaken in the middle the night. • Educate to limit alcohol and depressant medications (including diphenhydramine and Tylenol PM). • Educate on when to seek further or emergent care including feelings of self-harm or hopelessness. • Revisit clinic in 2-4 weeks for follow up and evaluation.

Comments

If your instructor provides individual feedback on this assignment, it will appear here.

© Shadow Health 2012 - 2020 (800) 860-3241 | Help Desk (https://support.shadowhealth.com/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents

(https://www.shadowhealth.com/patents)

®

https://support.shadowhealth.com/
https://aspen.shadowhealth.com/static/terms_of_service
https://aspen.shadowhealth.com/static/privacy_policy
https://www.shadowhealth.com/patents

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Custom Coursework Service
Engineering Help
Helping Hand
Essay & Assignment Help
Finance Master
Quick Finance Master
Writer Writer Name Offer Chat
Custom Coursework Service

ONLINE

Custom Coursework Service

I am known as Unrivaled Quality, Written to Standard, providing Plagiarism-free woork, and Always on Time

$28 Chat With Writer
Engineering Help

ONLINE

Engineering Help

Hello, I an ranked top 10 freelancers in academic and contents writing. I can write and updated your personal statement with great quality and free of plagiarism

$23 Chat With Writer
Helping Hand

ONLINE

Helping Hand

I have read and understood all your initial requirements, and I am very professional in this task.

$29 Chat With Writer
Essay & Assignment Help

ONLINE

Essay & Assignment Help

Give me a chance, i will do this with my best efforts

$48 Chat With Writer
Finance Master

ONLINE

Finance Master

You can award me any time as I am ready to start your project curiously. Waiting for your positive response. Thank you!

$44 Chat With Writer
Quick Finance Master

ONLINE

Quick Finance Master

Give me a chance, i will do this with my best efforts

$34 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Coral reef research paper outline - El doctor dijo que no (ser) nada grave. el doctor (querer) ver la nariz del niño. - Lakeland community college blackboard - Tenancy application form nsw fair trading - A white bus subordinating conjunctions - Tim winton big world analysis - Https www northwesternmutual com longevity game - Nab connect log in - Icd 10 code for abdominal cramping in pregnancy - High class indian escorts - Executive Summary and Organizational Culture and Values - 1 rep max bicep curl - Consist of long chains of polypeptides crossword clue - Discussion 2 - Qtac preferences due date - Capability statement template powerpoint - Training foreign language teachers michael j wallace pdf - An attack that sends unsolicited messages to bluetooth-enabled devices - Vygotsky 4 stages of development - What is a first order consumer - analysis of penicillin and beta hemolytic strep - Nursingg - Frequency division multiplexing advantages and disadvantages - Alien periodic table answers - Buzz number program in java - Ethos pathos logos advertisement essay - 26 electrons 26 protons - How long is 1260 days in years - Austin counties car club - Canon pixma mg3000 series installation - Valentines high school teachers - Redlands school of business - Sociology: Family Discussion - Ihi 6 steps of rca - Iisc guest house charges - What law states that energy cannot be created or destroyed - Week 5 Assignment - Advertising campaign that promotes the influenza flu vaccination - Philosophy multiple choice questions and answers - Speed fitness test examples - Managerial economics a problem solving approach answer key - Murdoch university census date - A leader should provide structure when establishing a constructive climate. - Racist quotes in to kill a mockingbird - Current event - Old economy traders opened an account to short sell - The nature nurture debate the essential readings - Nike inc cost of capital case study - Example breakdown structure for coffee shop - CLOUD COMPUTING IN CONSUMER PACKAGING GOODS - The term _________________ refers to configuring a web page is optimally ranked by search engines - Indirect high frequency aftercare - Informative speech about healthy eating - Bonaire pyrox spare parts - Simplify the expression below show your work 7y 12 - Unlike its competitors in the online air travel industry - Discussion: Using the Walden Library - When did luis vaez de torres died - Facebook inc the initial public offering case study solution - Case scenarios grocery inc presentation - They say i say response - Katoya jones - Case Study - 10 plagues egyptian gods chart - She shall bear upon my knees meaning - Define the term cliché penn foster - Bimanual palpation of kidney - Code of ethics for professional teachers reflection - Strategy and hrm at delta airlines case study - Gerontology reflection - Volkswagen swot analysis 2019 - Predict US elections - Online discussion board rubric - Infant Nutrition - Achieving a cost advantage over rivals entails - Pata process flow diagram - Nx os upgrade procedure - Cvgbh - Week 8 - Moreland city council hall hire - Uniform circular motion pre lab - Nickel and dimed chapter 3 quotes - Macroeconomics seventh edition olivier blanchard answers - Is capacity the same as volume - Clustering in data mining research papers - Threshold and distinctive capabilities model - Eastern districts tennis association - Row of columns crossword - Theodosia tyson - SWOT ANALYSIS - Medical record deficiency analysis - Opposite song dr jean - How to calculate internal growth rate - Words that end with tion - Divorce and remarriage four christian views pdf - Bradley simmonds niomi smart - Pierre bourdieu influenced by - Locked bag 555 silverwater nsw 1811 - Ethic Dilemma and the role of the ethics committee in the health care system. - Triangulation mapping crime scene