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
Natalie is a 17 year‐old female who presents to the school‐based health center (SBHC) for the fourth time in 1 week with nonspecific complaints. Several teachers have reported Natalie falling asleep in class and “thinks she might be on drugs.” Her grades have continued to decrease this semester from C averages to barely passing most of her classes. Natalie reports she is tired “all the time” even though she claims to sleep 8–10 hours a night. She reports frequently waking up and not being able to fall back asleep. She does not like school and states “I don’t need anything I am learning in school.” When offered the PHQ2 and CRAFFT to complete as part of routine screening, she refused to complete both of them. She is requesting to be sent home.
Past medical history: Natalie was hospitalized once as an infant with wheezing and bronchitis. She reports no primary care provider and receives care at minute clinics, emergency rooms, or urgent care when needed.
Family history: Natalie’s mother has fibromyalgia, depression, and chronic headaches. Father’s history is unknown.
Social history: Natalie lives in a single‐parent household with her mother. No siblings live at home but she has half‐siblings who are no longer living at home; one is incarcerated and one has unknown whereabouts. Natalie has previously had detention for marijuana possession and has been caught juuling in class. Her grade averages are Ds and Fs and she is not on‐track to graduate this year. She admits to occasionally drinking with friends after school but has never blacked out and denies getting in the car while intoxicated. Natalie currently has a boyfriend but “it’s nothing serious” and has also been involved with females.
Psychiatric: Natalie has no history of a known diagnosis of trauma, depression, anxiety, or sub-stance use disorder.
Medications: Natalie has a previous prescription for Lexapro 10 mg but reports “it wasn’t working” so she stopped taking it. The previous prescribing provider for Lexapro and age of treatment is unknown. She denies vitamins, supplements, or over‐the‐counter medications.
Allergies: Natalie has no known drug allergies (NKDA).
Review of systems: Natalie denies problems with weight gain or weight loss, fever, night sweats, or pain. She has no difficulty in hearing, runny nose, post‐nasal drip, or ear pain. She denies history of cardiovascular issues, shortness of breath, night sweats, prolonged cough, wheezing, or gastro-intestinal issues.
OBJECTIVE
General: Natalie is dressed in leggings and an oversized sweatshirt with her hair in a ponytail, typical of adolescents.
Vital signs: Temperature: 98.8°F; heart rate: 70 beats per minute; BP: 118/60.
EENT: PERRLA, EOM intact, normal mucosa, no nasal discharge, swollen turbinates, tonsils 1+ with no exudate.
CV/Respiratory: Normal rate and rhythm. Lungs clear to auscultation with no wheezing and crackles.
Abdomen: Bowel sounds normal.
CRITICAL THINKING
What are the most likely differential diagnoses in this case and why?
__Substance use/abuse
__Alcohol use/abuse
__Depression
__School phobia
__Sleep problems
__Thyroid disorder
What are the top diagnostic tests required in this case and why?
__Toxicology screen
__Complete blood count (CBC) with differential
__Complete metabolic panel (CMP)
__Thyroid panel
__Suicide assessment
What are the concerns at this point?
What is the plan of treatment?
What are the plans for referral and follow‐up care?
What health education should be provided to this patient?
Natalie asks, “Are you going to tell my mom about this?” How do you respond?
Does the patient’s psychosocial history impact how you might treat her?
Can minors seek substance abuse counseling without parental consent?
Are there any standardized guidelines that should be used to treat this case? If so, what are they?
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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