Stages of Human Development Psychology Assignment Paper

Assignment
• Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent as well as possible reasons for these discrepancies.
• Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
• Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 code for the diagnosis. What was your primary diagnosis and why? Stages of Human Development Psychology Assignment Paper
• Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
• Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation? Stages of Human Development Psychology Assignment Paper

Patient: 10-year-old Caucasian male
CC: spots on face
DX. Molluscum Contagiosum ICD 10 Code: B08.1
Preceptor’s treatment: Famotidine 10mg BID daily.
Family History: Hypertension: Mother, Maternal grandfather, and maternal grandmother
History of Present Illness (HPI)10-year-old Caucasian male presents to the clinic today for concerns of spots on his face and ears. Mother states these spots have been there for over 1 year. States they are spreading all over his face. Father states that he had 2 spots on his own hand, he picked at them, and they went away. The spots do not appear to be bothering the child.
Social HX: Lives with father and mother. No siblings, does have pets but not in the home.
Past Surgical HX: Circumcision at 3 days old Stages of Human Development Psychology Assignment Paper
Vital signs normal:
Immunizations are up to date
SOAP NOTE CHECKLIST:
Focused SOAP Checklist Stages of Human Development Psychology Assignment Paper

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SUBJECTIVE:
o Chief Complaint: Did I state briefly in the patient’s own words
o History of present illness: Did I write a paragraph in the order of the 7 attributes & did I put the 7 attributes in a concise list in the chart (OLD CART-if you don’t know it, please look it up)
o Medications: did I list each medication and reason.
o Allergies: Did I include specific reactions to medications, foods, and insects, environmental?
o Past Medical History (PMH): Did I list all the patient Illnesses, hospitalizations? Did I Include childhood illnesses
o Past Surgical History (PSH): Did I list the dates, indications and types of operations? Stages of Human Development Psychology Assignment Paper
o OB/GYN History: (if applicable) Obstetric history, menstrual history, methods of contraception and sexual function.
o Personal/Social History: Tobacco use, Alcohol use, Drug use, risky sexual behavior. Patient’s interests, ADL’s IADL’s if applicable. Exercise, eating habits. Pediatrics: school status, parental smoking hx, birth history, school/daycare etc
o Immunizations: Did I include Last Tdap, Flu, pneumonia, etc. Pediatrics- (per pediatric schedule for age) HPV if applicable
o Family History: Did I list for Parents, Grandparents, siblings, children? Stages of Human Development Psychology Assignment Paper
o Review of Systems (SUBJECTIVE DATA): Did I include the systems related to my Chief Complaint and chronic conditions? Did I type detailed description? I did NOT use WNL. I was specific in my descriptions (see health assessment textbook). Did I remember this is what the patient says and not what I observed? Did I include the cardiovascular and respiratory system regardless of chief complaint?
Physical Exam: (OBJECTIVE DATA) This is what YOU see/touch/hear/smell
o Did I list the vital signs as the first thing in the objective section? Did I include the BMI for adults? Did I include the percentile for the ht, wt, bp etc for pediatrics?
o Did I examine the systems that are pertinent to the CC, HPI, and History. Did I describe what I observed? Did I never use WNL or normal? Did I describe what I observed during the physical exam?
o Did I include the systems in a list format?
o Did I include cardiovascular and respiratory systems regardless of cc?
o Did I delete the systems I did not review? Stages of Human Development Psychology Assignment Paper

ASSESSMENT:

o Did I put my priority diagnosis in bold for EACH CC?
o Did I include at least 3 differentials(DD) after the priority diagnosis for EACH of my CC?
o Did I explain what each DD is, use references to explain and tell how you ruled in or ruled out each DD? (AND does your ROS and PE reflect this?)
o Did I include a reference citation for each diagnosis under the assessment area?
o Are my assessments concise and in a chart format?
o Did I put my differential diagnosis in order by priority?
o Did I provide a detailed rationale for each diagnosis?

Holistic care:

o Did I cover existing diagnoses and whether any changes need to be made?
o Did I include needed preventative care based on my patient’s age and risk factors? Stages of Human Development Psychology Assignment Paper

PLAN:
o Did I include a treatment plan?
o Did I address if labs, x-rays, etc. were needed?
o Did I include a pharmacological plan and citation for EBP?
o Did I include non-pharmacological strategies?
o Did I discuss alternative therapies if applicable?
o Did I state when the patient needs a follow-up?
o Did I indication if any referrals or consultations were necessary or not necessary?
o Did I write a rationale based on evidence?
o Health Promotion: Did I address this area? Did I state what the patient/ family need to do to promote their health based on the USPTF for adults or Bright Futures for children? Did I document my citations?
o Disease Prevention: Did I do these based on recommendations from USPTF for adult’s or Bright Futures for children based on the patient’s age? Did I state what needs to be done to detect disease early…fasting lipid profile, mammography, colonoscopy, immunizations, etc? Did I cite the source?

Stages of Human Development Psychology Assignment Paper

REFLECTION:
o Did I state what I learned from this experience?
o Did I state what I would you do differently or if I would do everything the same and the rationale?
o Did I state if I either agreed or disagreed with my preceptor based on evidence (and cite references for EBP?
o Did I state what I would do if the person was insured versus if the person was not insured? Indicate how this would change your plan.
o Did I state the community resources in my area?
APA
o Do I have a minimum of 3 scholarly journal articles? (NONE OF WHICH ARE PATIENT EDUCATION SITES THAT I GOOGLED)
o Did I use at least 3-4 course resources?
o Do I have the paper in a neat format?
o Did I list my references in APA format? Stages of Human Development Psychology Assignment Paper

Episodic/Focused SOAP Note Template

Patient Information:
Initials, Age, Sex, Race
S.
CC (chief complaint): This is a brief statement identifying why the patient is here in the patient’s own words, for instance, “headache,” not “bad headache for 3 days.”
HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start every HPI with age, race, and gender (e.g., 34-year-old African American male). You must include the seven attributes of each principal symptom in paragraph form, not a list. If the CC was “headache,” the LOCATES for the HPI might look like the following example:
Location: head Stages of Human Development Psychology Assignment Paper
Onset: 3 days ago
Character: pounding, pressure around the eyes and temples
Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia
Timing: after being on the computer all day at work
Exacerbating/relieving factors: light bothers eyes, Naproxen makes it tolerable but not completely better
Severity: 7/10 pain scale
Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include over-the-counter (OTC) or homeopathic products.
Allergies: Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction versus intolerance.
PMHx: Include immunization status (note date of last tetanus for all adults), past major illnesses, and surgeries. Depending on the CC, more info is sometimes needed.

Soc & Substance Hx: Include occupation and major hobbies, family status, tobacco and alcohol use (previous and current use), and any other pertinent data. Always add some health promotion questions here, such as whether they use seat belts all the time or whether they have working smoke detectors in the house, the condition of the living environment, text/cell phone use while driving, and support systems available. Stages of Human Development Psychology Assignment Paper
Fam Hx: Illnesses with possible genetic predisposition, contagious illnesses, or chronic illnesses. The reason for death of any deceased first-degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.
Surgical Hx: Prior surgical procedures.
Mental Hx: Diagnosis and treatment. Current concerns: (Anxiety and/or depression). History of self-harm practices and/or suicidal or homicidal ideation.
Violence Hx: Concern or issues about safety (personal, home, community, sexual—current and historical).
Reproductive Hx: Menstrual history (date of last menstrual period [LMP]), pregnant (yes or no), nursing/lactating (yes or no), contraceptive use (method used), types of intercourse (oral, anal, vaginal, other), and any sexual concerns.
ROS: This covers all body systems that may help you include or rule out a differential diagnosis. You should list each system as follows: General: Head: EENT: and so forth. You should list these in bullet format and document the systems in order from head to toe.
Example of Complete ROS:
GENERAL: No weight loss, fever, chills, weakness, or fatigue.
HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat. Stages of Human Development Psychology Assignment Paper
SKIN: No rash or itching.
CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.
RESPIRATORY: No shortness of breath, cough, or sputum.
GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.
GENITOURINARY: Burning on urination. Pregnancy. LMP: MM/DD/YYYY.
NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.
MUSCULOSKELETAL: No muscle pain, back pain, joint pain, or stiffness.
HEMATOLOGIC: No anemia, bleeding, or bruising.
LYMPHATICS: No enlarged nodes. No history of splenectomy.
PSYCHIATRIC: No history of depression or anxiety.
ENDOCRINOLOGIC: No reports of sweating or cold or heat intolerance. No polyuria or polydipsia.
REPRODUCTIVE: Not pregnant and no recent pregnancy. No reports of vaginal or penile discharge. Not sexually active.
ALLERGIES: No history of asthma, hives, eczema, or rhinitis.
O. Stages of Human Development Psychology Assignment Paper
Physical exam: From head to toe, include what you see, hear, and feel when conducting your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and history. Do not use “WNL” or “normal.” You must describe what you see. Always document in head-to-toe format (i.e., General: Head: EENT:).
Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).
A.
Differential Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence-based guidelines.
P.
Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions, education, disposition of the patient, and any planned follow-up visits. Each diagnosis or condition documented in the assessment should be addressed in the plan. The details of the plan should follow an orderly manner. Also included in this section is the reflection. The student should reflect on this case and discuss whether or not they agree with their preceptor’s treatment of the patient and why or why not. What did they learn from this case? What would they do differently?
Also include in your reflection a discussion related to health promotion and disease prevention, taking into consideration patient factors (e.g., age, ethnic group), PMH, and other risk factors (e.g., socioeconomic, cultural background). Stages of Human Development Psychology Assignment Paper
References
You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

Patient Information
Initials: J.D.
Age: 10
Sex: Male
Race: Caucasian
Chief Complaint (CC):
The patient, a 10-year-old Caucasian male, presents with a chief complaint of spots on his face and ears. The spots have been persistent for over a year and are noted to be spreading, as reported by the patient’s mother. However, the patient himself does not express any discomfort or bother from these spots.
History of Present Illness (HPI):
The onset of the spots on the face and ears was noted to be over a year ago, with gradual spreading observed over time. The spots are described as small, dome-shaped, flesh-colored papules with central umbilication. There are no associated symptoms such as pain, itching, or discharge reported by the patient. Interestingly, the patient’s father mentioned having similar spots on his hand previously, which disappeared after being picked at. This history raises questions about the nature of the spots and their potential progression or resolution (Kettenbach, 2013). Stages of Human Development Psychology Assignment Paper
Current Medications:
The patient is not currently taking any medications, as reported during the history-taking.
Allergies:
No known allergies were reported by the patient or caregiver during the assessment.
Past Medical History (PMHx):
The patient’s past medical history is unremarkable, with no significant illnesses, surgeries, or chronic conditions reported. Stages of Human Development Psychology Assignment Paper
Social & Substance History (Soc & Substance Hx):
The patient is a 10-year-old male with no significant social or substance history. Information about family dynamics, living environment, and educational status is not detailed in the provided history.

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Family History (Fam Hx):
The patient’s family history includes the father’s reported history of similar spots on his hand previously. No other significant familial medical conditions or hereditary diseases were reported.
Surgical History (Surgical Hx):
There is no history of surgical procedures or interventions reported in the patient’s medical history.
Mental History (Mental Hx):
The patient’s mental health history is not elaborated upon in the provided information, and there are no reported concerns related to mental health or behavioral issues.
Violence History (Violence Hx):
No history of violence or safety concerns is reported in the patient’s history.
Reproductive History (Reproductive Hx):
Given the patient’s age and gender, reproductive history is not applicable to this case and was not discussed during the assessment.
Review of Systems (ROS):
The review of systems includes a comprehensive assessment of various body systems to screen for any associated symptoms or potential differential diagnoses. Stages of Human Development Psychology Assignment Paper
– General: The patient denies weight loss, fever, chills, weakness, or fatigue.
– Head: No reports of headache or dizziness.
– Eyes, Ears, Nose, Throat (EENT): Visual and auditory systems are not mentioned to have any abnormalities or complaints.
– Skin: The patient presents with multiple small, dome-shaped, flesh-colored papules with central umbilication on the face and ears, which is the primary focus of the assessment.
– Cardiovascular: No chest pain, palpitations, or edema reported.
– Respiratory: No complaints of shortness of breath, cough, or sputum production.
– Gastrointestinal: Absence of abdominal pain, nausea, vomiting, or diarrhea.
– Genitourinary: Not applicable to the patient’s age and gender.
– Neurological: No sensory or motor deficits reported, and no changes in bowel or bladder control.
– Musculoskeletal: No joint pain, stiffness, or muscle discomfort mentioned.
– Hematologic: No history of bleeding, anemia, or bruising reported.
– Lymphatics: No enlarged lymph nodes or history of splenectomy noted.
– Psychiatric: The patient denies a history of depression, anxiety, or other psychiatric conditions. Stages of Human Development Psychology Assignment Paper
– Endocrine: No reports of hormonal imbalances or symptoms related to endocrine disorders.
– Reproductive: Not applicable due to age and gender.
– Allergies: No history of allergic reactions, asthma, hives, eczema, or rhinitis reported.
Physical Examination (O):
The physical examination findings focus on the assessment of the spots on the patient’s face and ears, as well as a general assessment of other body systems (Kutt, & Krishnaswamy, 2017).
– General: The patient appears well-nourished, alert, and oriented with no signs of distress.
– Head: Normocephalic, atraumatic, with no abnormalities noted.
– Eyes: Pupils equal, round, and reactive to light (PERRLA), extraocular movements intact (EOMI), no conjunctival injection or discharge observed.
– Ears: Bilateral pinnae and external auditory canals normal without erythema or discharge.
– Nose: Nasal mucosa pink and moist, no nasal discharge or septal deviation noted.
– Throat: Oropharynx clear without tonsillar enlargement or exudates.
– Skin: Multiple small, dome-shaped, flesh-colored papules with central umbilication noted on the face and ears, consistent with Molluscum Contagiosum. No signs of inflammation, infection, or secondary changes observed.
– Cardiovascular: Heart sounds regular rate and rhythm (RRR), no murmurs, rubs, or gallops appreciated. Peripheral pulses intact and symmetrical. Stages of Human Development Psychology Assignment Paper
– Respiratory: Clear breath sounds bilaterally, no wheezing, rales, or rhonchi heard.
– Gastrointestinal: Abdomen soft, non-tender, non-distended, bowel sounds present in all quadrants.
– Genitourinary: Not applicable to the patient’s age and gender.
– Neurological: Alert and oriented x3, cranial nerves intact, normal muscle tone and strength, no focal deficits noted.
– Musculoskeletal: Full range of motion (ROM) in all extremities, no joint swelling, tenderness, or deformities observed (Kutt, & Krishnaswamy, 2017).
– Lymphatics: No palpable lymphadenopathy in cervical, axillary, or inguinal regions.
– Psychiatric: No abnormal behaviors or mood disturbances noted.
– Endocrine: No visible signs of endocrine abnormalities such as goiter or Cushingoid features.
– Reproductive: Not applicable to the patient’s age and gender.
– Allergies: No signs of allergic reactions such as urticaria, angioedema, or respiratory distress.
Diagnostic Results:
No specific diagnostic tests or laboratory investigations were done. However, based on the physical examination findings, a presumptive diagnosis of Molluscum Contagiosum is made.
Assessment (A):
Differential Diagnosis
1. Molluscum Contagiosum: Primary diagnosis based on the characteristic appearance of small, dome-shaped, flesh-colored papules with central umbilication on the face and ears, consistent with Molluscum Contagiosum. Stages of Human Development Psychology Assignment Paper
2. Milia: Consideration due to the similarity in appearance with Molluscum Contagiosum lesions, although less likely given the central umbilication noted in the spots.
3. Seborrheic Keratosis: Another consideration due to the possibility of raised, wart-like growths, although less likely based on the description provided.
Plan (P):
1. Confirm diagnosis through skin biopsy if necessary to differentiate from other differential diagnoses and provide definitive confirmation of Molluscum Contagiosum.
2. Educate the patient and family about the benign nature of Molluscum Contagiosum, transmission modes, and preventive measures to avoid spread (Davidson, 2023)
3. Topical treatment with salicylic acid or benzoyl peroxide may be considered for the lesions if symptomatic or for cosmetic reasons.
4. Follow-up in 4 weeks to monitor response to treatment, assess for any new developments, and address any concerns or questions from the patient or caregiver. Stages of Human Development Psychology Assignment Paper

References
Cantharidin topical solution (Ycanth) for Molluscum contagiosum. (2024). The Medical Letter on Drugs and Therapeutics, 66(1696), 27-29. https://doi.org/10.58347/tml.2024.1696b
Davidson, L. K. (2023). Molluscum contagiosum. Centers for Disease Control and Prevention. https://www.cdc.gov/poxvirus/molluscum-contagiosum/index.html
Garry G. (2020). Molluscum contagiosum. Pediatric Practice Guidelines, 5, 6. https://doi.org/10.1891/9780826185235.0002n
Kettenbach, G. (2013). Writing SOAP notes: With patient/client management formats. F A Davis Company.
Kutt,, P., & Krishnaswamy, G. (2017). Pediatric physical examination. The Link: Pediatric History-Taking and Physical Examination, 137-137. https://doi.org/10.5005/jp/books/12897_11 Stages of Human Development Psychology Assignment Paper