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TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING CRITERIA SHEET FOR PSYCHIATRIC ROTATION ANALYSIS STUDENT’S NAME: ____________________________________ DATE: __________ PATIENT’S INITIALS: _______ PATIENT’S AGE: _______ PATIENT’S GENDER: _____ FACILITY: __________________________DATE OF INTERVIEW: ______________ DATE OF ADMISSION: _______________ NUMBER OF ADMISSIONS: # Maximum points available for each criteria Self Check Column # S 5 5 3 4 5 5 3 30 G G- assigned grades (increments of 0.25) Read all sections before beginning the analysis. A.) Includes a brief introduction of the patient, general appearance, and number of psychiatric admissions (if available). B.) Include a description of the purpose of the AIMS and MMSE. Indicate the patient scores on the AIMS and MMSE and discuss identified problems which affected the scores if any. Analyze the results. Attach the completed AIMS and MMSE forms to this paper. C.) Identify the expected developmental stage according to Erikson and provide evidence to support if patient is achieving or not achieving this task. D.) Discuss patient's pertinent social or family history, spiritual and cultural issues. A.) Identify and discuss the axes of DSM-V criteria. B.) Compare the patient’s behavior/symptoms to the DSM-V criteria. C.) Identify two defense mechanisms that the patient is using. Define them and cite and example using the patient's behaviors. A.) Discuss the pathophysiology of the patient’s psychiatric diagnosis (Axis I). B.) Include the progression of the disease and presenting signs/symptoms in comparison with the textbook. C.) When applicable, include predisposing or influencing factors, patient's age at onset of illness compared with usual age of onset, non-compliance with medications/treatment, and current psychiatric illness acuity level. A.) Discuss the patient’s prescribed psychiatric medications. Include how they work to resolve the patient’s symptoms, major side effects or adverse reactions. B.) Include nursing responsibilities with administering or monitoring of the patient. C.) Discuss any labs related to the patient’s mental health or psychiatric medications and compare with the normal values. A.) Address the patient’s perception of their short and long term goals. (In 3 months, 1 year, and 5 years.) B.) What physical, emotional, social, spiritual, financial, cultural, and lifestyle choices may hinder or facilitate goal attainment? C.) Determine and discuss if the goals are realistic. If the goals are not realistic, propose realistic and attainable goals with rationale. A.) Address interventions that will assist the patient in goal attainment. B.) Address strengths and barriers along with therapies, education, referrals and support groups. C.) Discuss patient’s prognosis. D.) Demonstrates evidence of critical thinking. A.) Accurate in spelling, grammar, word processor written in formal paper format. B.) Completed self-check column and criteria sheet turned in. C.) Reference page must be included and references cited according to TVCC modified format. D.) Referenced documentation (in the body of the paper) from psychiatric textbook and other reliable resources is evident. TOTAL POINTS COMMENTS Instructor’s Signature: __________________________________ Date: _____________ TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM CHECK-SHEET FOR WRITING PAPERS MAKE SURE TO CHECK THAT ALL THE FOLLOWING CRITERIA HAVE BEEN MET PRIOR TO COMPLETING AND TURNING IN WRITTEN DOCUMENTATION. _____ 1. Use 12-font only and Times New Roman type. _____ 2. Write in active voice rather than passive voice. “I conducted the interview in the patient’s room” is better than “The interview was conducted in the patient’s room”. When using pronouns, make sure the referent is obvious. For example, if you have been talking about a patient and his son and then use “he”, make sure it is clear which “he” you are referring to. _____ 3. Double space between lines but do not add an additional double space between paragraphs. _____ 4. Indent all paragraphs. _____ 5. Use 1-inch margin for upper, lower, left, and right side of papers. _____ 6. Put title on first page of written assignments. Do not include a separate title page. ______ 7. Put page numbers in right upper hand corner of each page. _____ 8. Answer objectives in the order of criteria sheet. Do not put question number of objectives in formal paper – use a new paragraph for each question. Make sure first sentence of each paragraph reflects the objective that is being answered in the paragraph. _____ 9. Citations within a formal paper should be (last name, year) or (correspondence with name, title of person, month, day, year of interview). _____ 10. Check TVCC handbook for the correct method to document all references. All formal papers must have a reference page. Information that was obtained from an interview with person at site, book, article, or manual must be reflected. _____ 11. Do not start sentences with “There is/are”. _____ 12. Do not start sentences with numbers such as “846”; the number must be spelled out “eight hundred forty six”. All numbers less than “10” should be written out “ten” otherwise write the specific number “487”. _____ 13. Be sure to write out the words for any acronyms the first time it appears in the paper, followed by the acronym in parentheses. For the rest of the paper, the acronym may be used. For example, Texas Board of Nursing (BON)… _____ 14. Must have at least three sentences in each paragraph. Do not have paragraphs which are too long, such as an entire page. Do not use short, choppy sentences. _____ 15. Use spell check and grammar check prior to turning in paper. _____ 16. Have another person read paper prior to turning in to identify misspelled words, grammar, and to determine if all objectives have been answered. Reviewer’s Signature: ___________________________ _____ 17. Turn in criteria sheet with all papers as directed to designated instructor. N: RNSG 2562/Terrell State Hospital/Criteria Sheet for Psychiatric Rotation Analysis Reviewed 11/13