PLEASE FOLLOW INSTRUCTIONS AND COVER AREAS BELOW TO COMPLETE FOCUSED SOAP NOTE.
Review the Focused SOAP Note template, which you will use to  complete this Assignment. There is also a Focused SOAP Note Exemplar  provided as a guide for Assignment expectations.
Review the video, Case Study: Dev Cordoba. You will use this  case as the basis of this Assignment. In this video, a faculty member is assessing a mock patient. The patient will be represented  onscreen as an avatar.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
The Assignment
Develop a Focused SOAP Note, including your  differential diagnosis and critical-thinking process to formulate a  primary diagnosis. Incorporate the following into your responses in the  template:
Subjective: What details did the patient provide regarding  their chief complaint and symptomology to derive your differential  diagnosis? What is the duration and severity of their symptoms? How are  their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss the patient’s mental status examination  results. What were your differential diagnoses? Provide a minimum of  three possible diagnoses with supporting evidence, listed in order from  highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria  rules out the differential diagnosis to find an accurate diagnosis.  Explain the critical-thinking process that led you to the primary  diagnosis you selected. Include pertinent positives and pertinent  negatives for the specific patient case.
Plan: What is your plan for psychotherapy? What is your plan  for treatment and management, including alternative therapies? Include  pharmacologic and nonpharmacologic treatments, alternative therapies,  and follow-up parameters, as well as a rationale for this treatment and  management plan. Also incorporate one health promotion activity and one  patient education strategy.
Reflection notes: What would you do differently with this  patient if you could conduct the session again? Discuss what your next  intervention would be if you could follow up with this patient.?Also  include in your reflection a discussion related to legal/ethical  considerations (demonstrate critical thinking beyond confidentiality and  consent for treatment!), health promotion, and disease prevention,  taking into consideration patient factors (such as age, ethnic group,  etc.), PMH, and other risk factors (e.g., socioeconomic, cultural  background, etc.).
Provide at least three evidence-based, peer-reviewed journal  articles or evidenced-based guidelines that relate to this case to  support your diagnostics and differential diagnoses. Be sure they are  current (no more than 5 years old).
** Three references required
** No plagiarism
Case Study: Dev Cordoba
Program Transcript
[MUSIC PLAYING]
DR. JENNY: Hi there. My name is Dr. Jenny. Can you tell me your name and how old
you are?
DEV CORDOBA: My name is Dev, and I am seven years old.
DR. JENNY: Wonderful. Dev, can you tell me what the month and the date is? And
where are we right now?
DEV CORDOBA: Today is St. Patrick’s Day. It’s March 17th.
DR. JENNY: Do you know where we are?
DEV CORDOBA: We’re at the school.
DR. JENNY: Good. Did your mom tell you why you’re here today to see me?
DEV CORDOBA: She thought you were going to help me be better.
DR. JENNY: Yes, I am here to help you. Have you ever come to see someone like me
before, or talked to someone like me before to help you with your mood?
DEV CORDOBA: No, never.
DR. JENNY: OK. Well, I would like to start with getting to know you a little bit better, if
that’s OK. What do you like to do for fun when you’re at home?
DEV CORDOBA: Oh, I have a dog. His name is Sparky. We play policeman in my
room. And I have LEGOs, and I could build something if you want.
DR. JENNY: I would love to see what you build with your LEGOs. Maybe you can bring
that in for me next appointment. Who lives in your home?
DEV CORDOBA: My mom and my baby brother and Sparky.
DR. JENNY: Do you help your mom with your brother?
DEV CORDOBA: No. His breath smells like bad milk all the time. [CHUCKLES] And he
cries a lot, and my mom spends more time with him.
DR. JENNY: So how do you feel most of the time? Do you feel sad or worried or mad or
happy?
DEV CORDOBA: Worried.
DR. JENNY: What types of things do you worry about?
Case Study: Dev Cordoba
DEV CORDOBA: I don’t know, just everything. I don’t know.
DR. JENNY: OK. So your mom tells me you also have a lot of bad dreams. Can you tell
me a little more about your bad dreams, like maybe what they’re about, how many
nights you might have them?
DEV CORDOBA: I dream a lot that I’m lost, that I can’t find my mom or my little brother.
They seem like they happen almost every night, but maybe not some nights.
DR. JENNY: Now that must feel horrible. Have you ever been lost before when maybe
you weren’t asleep?
DEV CORDOBA: Oh, no. No. And I don’t like the dark. My mom puts me in a night light
with the door open, so I know she’s really there.
DR. JENNY: That seems like that probably would help. Do you like to go to school? Or
would you rather not go?
DEV CORDOBA: I worry about by mom and brother when I’m at school. All I can think
about is what they’re doing, and if they’re OK. And besides, nobody likes me there.
They call me Mr. Smelly.
DR. JENNY: Well. That’s not nice at all. Why do you feel they call you names?
DEV CORDOBA: I don’t know. But my mom says it’s because I won’t take my baths.
[SIGHS] She tells me to, and it– and I have night accidents.
DR. JENNY: Oh, how does that make you feel?
DEV CORDOBA: Sad and really bad. They don’t know how it feels for their daddy to
never come home. What if my mom doesn’t come home too?
DR. JENNY: Yes, you seem to worry about that a lot. Does this worry stop you from
being able to learn in school?
DEV CORDOBA: Well, [SIGHS] my teacher is, all the time, telling me to sit down and
focus. And I get in trouble for [SIGHS] looking out the window. And she moved my chair
beside her desk, but I don’t mind because Billy leaves me alone now.
DR. JENNY: Billy. Have you ever hit Billy or anyone else?
DEV CORDOBA: No, but I did throw my book at him.
DR. JENNY: Hmm.
DEV CORDOBA: [CHUCKLES]
Case Study: Dev Cordoba
© 2021 Walden University, LLC 3
DR. JENNY: What about yourself? Have you ever hit yourself or thought about doing
something to hurt yourself?
DEV CORDOBA: No.
DR. JENNY: OK. Well, Dev, I would like to talk to your mom now. We’re going to work
together, and we’re going to help you feel happier, less worried, and be able to enjoy
school more. Is that OK?
DEV CORDOBA: Yes. Thank you.
MISS CORDOBA: Hi.
DR. JENNY: Thank you, Miss Cordoba, for bringing in Dev. I feel we can help him. So
tell me, what is your main concerns for Dev?
MISS CORDOBA: [SIGHS] Well, he just seems so anxious and worried all the time, silly
things like I’m going to die, or I won’t pick him up from school. He says I love his brother
more than him. He’ll throw things around the house, and gets in trouble at school for
throwing things.
He has a difficult time going to sleep. He wants his lights on, doors open, gets up
frequently. And he’s all the time wanting to come home from school, claims stomach
aches, and headaches almost daily. He won’t eat. He’s lost three pounds in the past
three weeks. Our pediatrician sent us to you because he doesn’t believe anything is
physically wrong.
Oh, and I almost forgot. He still wets the bed at night. [SIGHS] We’ve tried everything.
His pediatrician did give him DDVAP, but it doesn’t seem to help.
DR. JENNY: Hmm. OK. Can you tell me, any blood relatives have any mental health or
substance use issues?
MISS CORDOBA: No, not really.
DR. JENNY: What about his father? He said that he never came home?
MISS CORDOBA: Oh, yes. His father was deployed with the military when Dev was
five. I told Dev he was on vacation. I didn’t know what to tell him. I thought he was too
young to know about war. And his father was killed, so Dev still doesn’t understand that
his father didn’t just leave him. [SIGHS] I just feel so guilty that all of this is my fault.
DR. JENNY: Miss Cordoba, you did the right thing by bringing in Dev. We can help you
with him.
Attached below is the template to use and an example of how to answer the questions

For this Discussion Board, please complete the following: 300–500 words
The healthcare world and the world overall is now a very different place since the COVID-19 global pandemic uprooted people’s daily lives. Healthcare policy had to change on a dime in many places. For example, hospitals fearing the worst limited the visitation of family members to those loved ones struck with illness (both COVID and non-COVID). New parents had to take turns seeing their newborns. Telehealth has taken on a new leading role in many healthcare organizations because face-to-face visits were no longer acceptable due to nationwide lockdowns. Many organizations did this to mitigate risk and follow strategic national policy. Your organization has decided to take a stand to implement the same strategy. Its policy is to not allow any visitors during a lockdown.
In this class debate, you are going to be placed on a side of the new visitation policy. Your task is to argue for the new policy. You are tasked with presenting your case to the class on why the policy should stand. Cover the following:
Consider how this has changed the way that you view healthcare access and equality.
Consider the risk to the organization.
Consider the impact of the decision.
Should there be exceptions to the policy? Why or why not?
Use data and evidence from literature to support your argument.
Remember that in healthcare administration, you are often tasked with supporting unpopular policy; it is not your job to change this policy; rather, your job is to defend the side that you are on respectfully.

Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:
The medical problem/diagnosis/disease.
Typical presenting signs and symptoms including:
Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected
Concomitant disease states associated with the diagnosis
The pathophysiology of the problem.
Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.
Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.
The expected outcomes of the intervention.
Algorithms if available.
A typical clinical note in SOAP format.

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.
Not only do these diagnostic tests affect adults, but body measurements can also provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process. Explore how you could effectively gather information and encourage parents and caregivers to be proactive about their health and weight.
For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values.
Adult Assessment Tools or Diagnostic Tests.
The assigned Assessment Tool/Diagnostic Test is Colonoscopy
THE QUESTION:
Description how the assessment tool or diagnostic test you were assigned is used in healthcare.
What is the purpose of Colonoscopy?
How is Covid Colonoscopy conducted?
What information does it gather?
Based on your research, evaluate the test or the tool’s validity and reliability, and explain any      issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.