please view attatched files
Clinical Case Presentation Paper
Due Oct 7 by 11:59pm
Points 15
Submitting a file upload
Start Assignment
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. 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
1. Please use APA 7th edition format. The paper will be reviewed for correct grammar and spelling.
2. Use a Nursing Theorist or Psychodynamic Theory to guide your care.
3. Must have three current references from the past 5 years.
4. 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
Written Case Presentation
Criteria Ratings Pts
Chief Complaint
5 pts
History of Present Illness
5 pts
Psychiatric History
5 pts
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
Note: TurnItIn will be linked with this assignment
Grading: Each of the above items will be worth 5 points. Total 100%. See Expanded Rubric in Course
Syllabus.
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
Personal and Social History
5 pts
Mental Status Examination
10 pts
Suicide/Homicide assessment
5 pts
Medical History
5 pts
Allergies
5 pts
Current Medications
5 pts
Review of Systems
5 pts
History of abuse/trauma
5 pts
Assessment i.e. DSM DX
5 pts
Nursing Theory/Psychodynamic Approach
5 pts
Treatment Plan/Goals
5 pts
Education and Referrals
5 pts
5 pts
Full Marks
0 pts
No Marks
10 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
Conclusions and Summary
5 pts
References including evidenced based data
5 pts
Use of APA Style and Grammar
5 pts
Identifying data but only use the individuals initials
5 pts
Total Points: 100
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks
5 pts
Full Marks
0 pts
No Marks