Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
SUBJECTIVE
Marc is a 19‐year‐old Hispanic male, and a senior in high school. Marc presents to the school‐based health center for a routine physical exam. The Patient Health Questionnaire (PHQ‐2) administered to Marc at the start of the physical reveals a reported feeling of hopeless nearly all the time. Marc denies loss of interest in activities but reports calling out sick from his part‐time after‐school job several times a month. The school reports a high number of school absences and grades shifting from Bs to Ds during this marking period.
Past medical history: Early childhood onset asthma, history of obesity in childhood, history of self‐injurious behavior (SIB) in the form of superficial scratching skin with use of fingernails.
Family history: Maternal history is positive for heart disease, high blood pressure, episodic depres-sion, and alcohol and tobacco dependence. First‐degree relative (maternal side) positive for migraine headaches. Paternal history is unknown.
Social history: Marc denies current use of drugs or alcohol. He is the oldest of 4 children, father unknown, with early childhood exposure to domestic violence (DV) between mother and boy-friend, episodes of housing insecurity (multiple moves between friends’ homes and stays at motels), mother works 3 jobs to provide for family, resulting in the patient providing supervision to his younger siblings.
Sleep history: Difficulty initiating sleep with frequent waking throughout night, denies night-mares; average 5–6 hours per night per personal fitness tracker (Fit‐Bit) recording.
Medications: Albuterol MDI .083% inhaler PRN; Xopenex (nebulizer) PRN wheeze, Cetirizine 10 mg QD.
Allergies: Environmental allergies, allergy‐induced eczema, penicillin.
Review of Systems:
HEENT: Ongoing congestion, no changes in hearing, no vision changes, wears glasses.
Skin: No rashes.
Cardiovascular: No shortness of breath, no chest pain, no history of cardiac anomalies, no murmurs.
Respiratory: No shortness of breath, last used inhaler over 6 months ago, last nebulizer use unknown.
Gastrointestinal: No nausea, vomiting, or diarrhea, no constipation, loss of appetite.
Genitourinary: No increased frequency of pain or increased urination.
Muscoskeletal: No swelling or joint tenderness.
Heme: Denies easy bruising.
OBJECTIVE
General: The patient appears tired, is slow in responsiveness (verbally and behaviorally) to most requests, and fidgets with his clothing. He presents disheveled with dirty jeans and stains on his hooded sweatshirt; his hair is unbrushed. While placing a blood pressure cuff on Marc’s arm, several thin linear scars approximately 2 inches long and 2 centimeters thick are visible. Some scars appear white; silvery in tone; one mark is pink in tone with minimal scabbing.
Vital signs: Temperature: 98.3°F; heart rate: 102; blood pressure: 128/84; RR 22.
Eyes: PERRLA, EOM intact.
ENT: Normal appearance of posterior oropharynx, clear rhinorrhea bilateral.
Lymph: No lymphadenopathy.
Cardiovascular: Tachycardia, no JVD, no carotid bruits, no murmurs, regular rhythm.
Lungs: Clear to auscultation bilaterally, no accessory muscle use, no crackles or wheezes.
Skin: Several thin linear scars approximately 2 inches long and 2 centimeters thick were visible.
Some scars appeared white, silvery in tone; one mark was pink in tone with minimal scabbing.
Abdomen: Normal bowel sounds, abdomen soft and nondistended.
Genitourinary: Not examined.
Musculoskeletal: No edema, cyanosis, 5/5 strength with normal range of motion, no swollen joints.
Neurological: Alert and oriented X 3, CN II–XII grossly intact.
CRITICAL THINKING
What are the top three differential diagnoses in this case and why?
__Major depressive disorder
__Other specified depressive disorder
__Other specified trauma disorder
__Personal history of self‐harm__Hypothyroidism
__Adjustment sleep disorder (acute insomnia)
What diagnostic tests are required in this case and why?
__Patient Health Questionnaire‐9 (PHQ‐9)
__Beck Depression Inventory
__Non‐Suicidal Self‐Injury Assessment Tool (NSSI‐AT)
__Columbia Suicide Severity Rating Scale (C‐SSRS)__CBC with differential
__Thyroid panel
What are the concerns at this point?
What is the plan of treatment?
What health education should be provided to this patient?
What demographic characteristics might affect this case?
Does the patient’s psychosocial history affect how you might treat him?
What if the patient were elderly or under age 13?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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