(Solved) Realistic Treatment Plan | Homework #1 Solution

Exemplary

Includes a direct quote from patient about presenting problem

Distinguished

Includes a direct quote from patient and other unrelated information

Developing

Includes information but information is NOT a direct quote

Novice

Information is completely missing

Exemplary

Begins with patient initials, age, race, ethnicity, and gender (5 demographics)

Distinguished

Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity, and gender)

Developing

Begins with 3 or less patient demographics (patient initials, age, race, ethnicity, and gender) Realistic Treatment Plan

Novice

Information is completely missing

Exemplary

Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)

Distinguished

Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing

Developing

Includes the presenting problem and 4 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing Realistic Treatment Plan

Novice

The presenting problem is not clearly stated and/or there are < 4 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing

Exemplary

Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)

Distinguished

Only screened for one type of allergy (drug, environmental, herbal, food or latex). If allergies are present, list type drug, environmental factor, herbal, food, latex name and include the severity of allergy OR description of the allergy.

Developing

If allergies are present, students lists only the type of allergy name

Novice

Information is completely missing

Exemplary

Includes a minimum of 3 assessments for each body system, assesses at least 9 body systems directed to chief complaint, AND uses the words “admits” and “denies” Realistic Treatment Plan

Distinguished

Includes 3 or fewer assessments for each body system, assesses 5-8 body systems directed to chief complaint, AND uses the words “admits” and “denies”

Developing

Includes 3 or fewer assessments for each body system, and assesses less than 5 body systems directed to chief complaint, OR student does not use the words “admits” and “denies”

Novice

Information is completely missing

Exemplary

Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)

Distinguished

Includes at least 6 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)

Developing

Includes at least 4 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)

Novice

Information is completely missing

Exemplary

Includes a list of the labs, diagnostic tests, or screening tools that should be completed for identified patient that are based on the US clinical guidelines OR acknowledges no labs/diagnostic tests are recommended.

Distinguished

Includes a list of the labs, diagnostic tests, or screening tools that should be completed the identified patient but they do not follow the US clinical guidelines. Realistic Treatment Plan

Developing

Includes a list of the labs, diagnostic tests, or screening tools reviewed for the identified patient but they are inappropriate or do not address the patient’s problem

Novice

Information is completely missing. Realistic Treatment Plan

Exemplary

Includes a list of all of the patient reported psychiatric and medical medications and the diagnosis for the medication (including name, dose, route, frequency)

Distinguished

Includes a list of all of the patient reported psychiatric and but omits the medical medications and the diagnosis for the medication (including name, dose, route, frequency)

Developing

Includes a list of some of the patient reported psychiatric and/or medical medications and the diagnosis for the medication (omits the dose, route, frequency of the medications)

Novice

Information is completely missing

Exemplary

Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current

Distinguished

Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current

Developing

Includes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current

Novice

Information is completely missing Realistic Treatment Plan

Exemplary

Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), year of diagnosis and

Distinguished

Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (omits addiction treatment), year of diagnosis

Developing

Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), does not include the year of diagnosis Realistic Treatment Plan

Novice

The information is completely missing

Exemplary

Includes an assessment of at least 6 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts

Distinguished

Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts Realistic Treatment Plan

Developing

Includes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts

Novice

Information is completely missing

Exemplary

Distinguished Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.

Distinguished

Includes at least 8 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.

Developing

Includes all 6 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.

Novice

Information is completely missing.

Exemplary

Includes all 10 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each area

Distinguished

Includes all 8 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each area

Developing

Includes >6 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with some descriptions for each area Realistic Treatment Plan

Novice

Includes <3 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) OR detailed descriptions is not included for each area

Exemplary

Includes a clear outline of the accurate principal diagnosis based on DSM5 or DSM5-TR criteria

Distinguished

Includes an inaccurate diagnosis as the principal diagnosis based on DSM5 or DSM5-TR criteria Realistic Treatment Plan

Developing

Includes a medical diagnosis based as the principal diagnosis OR the diagnosis is not a DSM5 or DSM5-TR diagnosis

Novice

Information is completely missing

Exemplary

Includes at least 2 differential diagnoses for the principal diagnosis

Distinguished

Includes 2 differential diagnoses for the principal diagnosis

Developing

Includes 1 differential diagnosis for the principal diagnosis

Novice

Information is completely missing

Exemplary

Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.

Distinguished

Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4-7 of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. Realistic Treatment Plan

Developing

Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4 of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. Non-pharmacological treatment NOT included. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.

Novice

Information is completely missing

Exemplary

Provides a detailed list of medical and other interdisciplinary referrals or documents NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments.

Distinguished

Provides a medical or other interdisciplinary referral or documents NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments.

Developing

Provides a medical or other interdisciplinary referral. DOES NOT include a timeline for follow up appointments.

Novice

Information is completely missing.

Exemplary

Effectively uses literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of precision with APA 7th Edition writing style.

Distinguished

Effectively uses literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of precision with APA 7th Edition writing style.

Developing

Ineffectively uses literature and other resources to inform their work. Moderate use of citations and extended referencing. APA 7th Edition writing style not strictly adhered to.

Novice

APA style and writing mechanics not used. Realistic Treatment Plan