List 8 PROGRESS NOTES in SOAP format of the . Describe the activities you completed during this time period with patients. NOTE: ( The progress notes has to be related with what the Psychiatric Mental Health Nurse Practitioner do with Child and adolescents with different psychiatric conditions). 8 different notes with different patients scenarios.
Progress Note 1
Date: [Insert Date]
Patient: [Insert Patient Name]
Age: [Insert Patient Age]
Diagnosis: [Insert Diagnosis]
Plan: [Insert Treatment Plan]
Subjective:
During today’s session, the patient reported feeling anxious and irritable. They expressed difficulties with concentration and sleep, stating that they have been experiencing nightmares. The patient also mentioned feeling overwhelmed with schoolwork and social interactions, leading to isolation.
Objective:
The patient appeared restless during the session, frequently fidgeting and showing signs of increased agitation. They maintained good eye contact and were able to express their thoughts and emotions in a coherent manner. The patient’s vital signs were within normal limits.
Assessment:
The patient’s symptoms and self-report suggest the presence of anxiety and potentially a comorbid mood disorder. The patient’s difficulties with concentration and sleep, coupled with feelings of overwhelm, are indicative of impairment in their daily functioning.
Plan:
I discussed with the patient the importance of developing healthy coping strategies and stress management techniques. We reviewed deep breathing exercises and encouraged the patient to practice them regularly. I provided psychoeducation on the relationship between anxiety and sleep disturbances and suggested implementing a bedtime routine to promote better sleep hygiene. We agreed to schedule a follow-up appointment in two weeks to monitor progress and assess the effectiveness of interventions.
Progress Note 2
Date: [Insert Date]
Patient: [Insert Patient Name]
Age: [Insert Patient Age]
Diagnosis: [Insert Diagnosis]
Plan: [Insert Treatment Plan]
Subjective:
During today’s session, the patient shared their experiences of persistent sadness, loss of interest in activities, and difficulty concentrating. They expressed feelings of low self-worth and described occasional thoughts of self-harm.
Objective:
The patient appeared visibly distressed, displaying a flat affect and reduced eye contact. They reported having difficulty falling asleep, and their appetite has significantly decreased over the past few weeks. The patient’s vital signs were within normal limits.
Assessment:
The patient’s reported symptoms are consistent with criteria for Major Depressive Disorder. The presence of persistent sadness, anhedonia, impaired concentration, low self-esteem, and thoughts of self-harm indicate the need for immediate intervention and ongoing support.
Plan:
I conducted a suicide risk assessment and determined that the patient’s risk level was moderate but necessitated close monitoring. I discussed the option of medication management and referred the patient to a psychiatrist for further evaluation. I also initiated individual psychotherapy sessions to address the patient’s depressive symptoms. Safety planning and crisis intervention strategies were implemented to ensure the patient’s well-being between sessions. A follow-up appointment was scheduled for the following week to assess response to treatment interventions and adjust the treatment plan accordingly.
Progress Note 3
Date: [Insert Date]
Patient: [Insert Patient Name]
Age: [Insert Patient Age]
Diagnosis: [Insert Diagnosis]
Plan: [Insert Treatment Plan]