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The following is feedback from the instructor:
I am requiring students to choose two systems and document under the physical exam. For example, you can choose the respiratory system. ALWAYS CITE your work. You can discuss the significance of the respiratory system. Why you would assess this system, any consequences if you fail to assess this system? Any medications as a psych provider prescribe that can potentially affect this systems. What are the effects of psych meds on this system?
also, “If you diagnose your patient with adjustment disorder with anxiety, it is important to consider the systems that may be affected. For instance, stress-related gastrointestinal issues—such as nausea, diarrhea, or changes in appetite—are common in individuals experiencing adjustment disorders. In your assignment, you should examine the gastrointestinal system and provide a rationale for how these symptoms can impact it.
By addressing this, you will demonstrate a comprehensive understanding of how psychological stress can manifest in physical symptoms and affect multiple bodily systems.”
for the Mental status examination: The following should be part of the MSE, but not limited to:
appearance
Attitude
Behavior
Mood and affect
Speech
Thought process
Thought content
Perceptions (hallucinations, delusions)
cognition
Insight
Judgment
SI/HI
Suicidal ideation:
Please always assess for suicidality in your psych eval not in the physical exam. If suicidality was not covered during evaluation then note it in your paper that it was not covered and why it is significant.
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