Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the p
1- Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
2- Reflect on the three most challenging patients you encountered during the practicum experience. What was most challenging about each?
3- What did you learn from this experience?
4- What resources were available?
5- What evidence-based practice did you use for the patients?
6- What would you do differently?
7- How are you managing patient flow and volume?
In 450–500 words, address the following:
Learning From Experiences
1- Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
2- Reflect on the three most challenging patients you encountered during the practicum experience. What was most challenging about each?
3- What did you learn from this experience?
4- What resources were available?
5- What evidence-based practice did you use for the patients?
6- What would you do differently?
7- How are you managing patient flow and volume?
Communicating and Feedback
Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
Answer the questions: How am I doing? What is missing?
Reflect on the formal and informal feedback you received from your Preceptor.
By Day 7
Submit your Journal.
,
PMHNP PRAC 6645 Clinical Skills
Self-Assessment Form
Desired Clinical Skills for Students to Achieve |
Confident (Can complete independently) |
Mostly confident (Can complete with supervision) |
Beginning (Have performed with supervision or need supervision to feel confident) |
New (Have never performed or does not apply) |
Comprehensive psychiatric evaluation skills in: |
||||
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan |
Mostly |
|||
Differentiating between pathophysiological and psychopathological conditions |
Mostly |
|||
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
Mostly |
|||
Performing and interpreting a mental status examination |
Mostly |
|||
Performing and interpreting a psychosocial assessment and family psychiatric history |
Mostly |
|||
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
mostly |
|||
Diagnostic reasoning skill in: |
||||
Developing and prioritizing a differential diagnoses list |
mostly |
|||
Formulating diagnoses according to DSM 5 based on assessment data |
mostly |
|||
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
mostly |
|||
Pharmacotherapeutic skills in: |
||||
Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) |
Mostly |
|||
Evaluating patient response and modify plan as necessary |
Mostly |
|||
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) |
Mostly |
|||
Psychotherapeutic Treatment Planning: |
||||
Recognizes concepts of therapeutic modalities across the lifespan |
New |
|||
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) |
New |
|||
Applies age-appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups |
New |
|||
Develop an age appropriate individualized plan of care |
New |
|||
Provide psychoeducation to individuals, family, and/or groups |
New |
|||
Promote health and disease prevention techniques |
Mostly |
|||
Self-Assessment skills: |
||||
Develop SMART goals for practicum experiences |
Mostly |
|||
Evaluating outcomes of practicum goals and modify plan as necessary |
Mostly |
|||
Documenting and reflecting on learning experiences |
Mostly |
|||
Professional skills: |
||||
Maintains professional boundaries and therapeutic relationship with clients and staff |
Mostly |
|||
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
Mostly |
|||
Identifies ethical and legal dilemmas with possible resolutions |
Beginning |
|||
Demonstrates non-judgmental practice approach and empathy |
Mostly |
|||
Practices within scope of practice |
||||
Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals: |
||||
Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
Beginning |
|||
Implements the screening instrument efficiently and effectively with the clients |
Beginning |
|||
Interprets results for screening instruments accurately |
beginning |
|||
Develops an appropriate plan of care based upon screening instruments response |
Mostly |
|||
Identifies the need to refer to another specialty provider when applicable |
Mostly |
|||
Accurately documents recommendations for psychiatric consultations when applicable |
Mostly |
Summary of strengths:
Based on the self-assessment form, good abilities to elaborate a comprehensive psychiatric evaluation. Elaborate differential diagnosis and a main diagnosis according to DSM-5. Able to select to appropriate psychopharmacologic treatment, evaluate to effect and report the side effects. Good abilities to develop and evaluate the outcome of SMART goals for practicum experience. Professional skills such as Maintaining professional boundaries and therapeutic relationship with clients and staff; collaborating with multi-disciplinary teams to improve clinical practice in mental health settings. |
Opportunities for growth:
-Need to acquire knowledge and skills in psychotherapeutic concepts and modalities across the lifespan by selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan; Applies age-appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups; Develop an age-appropriate individualized plan of care and Provide psychoeducation to individuals, family, and/or groups. – Become more familiar with selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals: |
Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
1-Goal: Become confident in the use of screening instruments in the care of most psychiatric disorders and psychotherapy by the end of this practicum. a-Objective: Selecting and implementing appropriate screening instrument. b-Objective: Interpreting results, and making recommendations and referrals – 2-Goal: Improve my professionalism skills by applying and identifying ethical and legal dilemmas with possible resolutions by the end of this practicum. a. Objective: Read code of ethics and evidenced based practice articles about ethics and legal issues in psychotherapy with individuals, groups and families. b. Objective: Provide safety and confidence to patients by protecting their rights and privacy. 3-Goal: Become knowledgeable in Psychotherapeutic Treatment Planning by the end of this practicum. a. Objective: Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation b. Objective: Applies age-appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups. Develop an age-appropriate individualized plan of care |
Signature: Diane Nwamoh
Date:12/06/2022
Course/Section: NRNP 6645-7
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