After completing the Clinical Skills Self-Assessment form, I identified that my strengths fall under the domains of Comprehensive psychiatric evaluation skills, Psychotherapeutic Treatment Planning, and Self Assessment skills. I can effectively identify clinical signs and symptoms of psychiatric illness in patients. I can also conduct and interpret a comprehensive and interval patient history and physical examination. Besides, I am well-versed in conducting and interpreting mental status examinations (MSEs), psychosocial assessments, family psychiatric history, and functional assessments (Fraino & Selix, 2021). Under the psychotherapeutic treatment planning domain, I am confident that I can independently provide psychoeducation to patients and their caregivers and promote health promotion and disease prevention interventions in mental health (Moyo et al., 2022). I have experience in developing SMART goals from my past practicum experiences. Thus, I can also evaluate the outcomes of practicum goals, adjust the plan when needed, and document and reflect on learning experiences from the practicum experience. |
The Clinical Skills Self-Assessment also made me identify areas I need to improve in the upcoming clinical practicum. These areas include Diagnostic reasoning, Professional skills, Selecting and Implementing screening instruments, and interpreting results. During this practicum, I plan to increase my knowledge of the psychopathology of mental disorders. I will also need to practice more in developing and prioritizing differential diagnoses for the patients I assess and formulate the diagnoses based on the DSM 5 (Shaygan et al., 2023). In addition, I need to improve my knowledge of age-related physiological and psychological symptoms and changes (Aggarwal et al., 2022). Furthermore, I will need to improve my interprofessional collaboration skills by collaborating with multi-disciplinary teams to improve clinical practice in mental health. I also need to learn about the PMHNP scope of practice and practice within it. Moreover, I will need to improve my skills in using screening tools and interpreting results.
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Now, writethree to four (3–4)possible goals and objectives for this practicum experience. Ensure that they follow the SMARTStrategy, as described in the Learning Resources.
1. Goal: By the end of the practicum, I will have developed age-appropriate treatment plans for mental health and psychiatric disorders for at least ten adult and pediatric patients.
a. Objective: Identify the most appropriate pharmacotherapy interventions for the diagnosis. b. Objective: Identify the most appropriate psychotherapy interventions for the diagnosis. c. Objective: Develop a health education plan for the patient, family, and caregivers.
2. Goal: By the end of the practicum, I will have conducted comprehensive patient assessment for at least ten adult and pediatric patients presenting with mental health symptoms a. Objective: Take subjective history including PHI, medical, family, substance-use, and social history. b. Objective: Perform mental status exam for each patient. c. Objective: Use appropriate mental health screening tools and interpret results.
3. Goal: By the end of the practicum, I will have developed primary psychiatric diagnosis for at least ten adult and pediatric patients. a. Objective: D
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