PRAC-6640-35 Practicum Week 7

PRAC-6640-35 Practicum Week 7

PRAC-6640-35 Practicum Week 7

This week, you assess progress for a client receiving psychotherapy and develop progress and privileged psychotherapy notes for the client.

Learning Resources

Required Readings

Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286-292.

Optional Resources

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Assignment 1: Practicum – Assessing Client Progress

Learning Objectives

Students will:

  • Assess progress for clients receiving psychotherapy
  • Differentiate progress notes from privileged notes
  • Analyze preceptor’s use of privileged notes

To prepare:

  • Reflect on the client you selected for the Week 3 Practicum Assignment.
  • Review the Cameron and Turtle-Song (2002) article in this week’s Learning Resources for guidance on writing case notes using the SOAP format.

The Assignment

Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

  • Treatment modality used and efficacy of approach
  • Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
  • Modification(s) of the treatment plan that were made based on progress/lack of progress
  • Clinical impressions regarding diagnosis and/or symptoms
  • Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
  • Safety issues
  • Clinical emergencies/actions taken
  • Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
  • Treatment compliance/lack of compliance
  • Clinical consultations
  • Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
  • Therapist’s recommendations, including whether the client agreed to the recommendations
  • Referrals made/reasons for making referrals
  • Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
  • Issues related to consent and/or informed consent for treatment
  • Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
  • Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note. PRAC-6640-35 Practicum Week 7

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

  • The privileged note should include items that you would not typically include in a note as part of the clinical record.
  • Explain why the items you included in the privileged note would not be included in the client’s progress note.
  • Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

By Day 7

Submit your Assignment.

Submission

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the following naming convention: “WK7Assgn1+lastname+first initial”.
  • Click the Week 7 Assignment 1 link.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn1+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 1 Rubric

Assignment 2: Practicum – Week 5 and Week 6 Journal Submission

Learning Objectives

Students will:

  • Develop diagnoses for clients receiving psychotherapy*
  • Evaluate the efficacy of therapeutic approaches for clients*
  • Analyze legal and ethical implications of counseling clients with psychiatric disorders*

By Day 7

Submit your Journal Entries for Week 5 and Week 6. Refer to Week 5 and Week 6 for additional guidance.

Submission

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignments using the following naming convention: “WK7Journal2+lastname+firstinitial.”
  • Click the Week 7 Assignment 2 link.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Journal2+last name+first initial.(extension)” and click Open. Repeat for each of the Practicum Journal submissions. If you are submitting multiple files, repeat until all files are attached.
  • Click on the Submit button to complete your submission.

Grading Criteria

ORDER HERE FOR ORIGINAL, PLAGIARISM-FREE PAPERS

To access your rubric:

Week 7 Assignment 2 Rubric

Practicum Reminder

Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.

Week in Review

Now that you have:

  • Assessed progress for clients receiving psychotherapy
  • Differentiated progress notes from privileged notes
  • Analyzed preceptor’s use of privileged notes

Next week, you will:

  • Assess clients presenting for psychotherapy
  • Evaluate the effectiveness of therapeutic approaches for clients receiving psychotherapy
  • Apply existential-humanistic therapy to clients with psychiatric disorders

Looking Ahead: Week 8 Clinical Supervision Discussion

Week 8 Discussion: In 3- to 5-minute Kaltura video, you will discuss a client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 8 Discussion for additional guidance.

Next Week

To go to the next week:

Week 8

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