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Compose an essay comparing health ACCESS and OUTCOMES for people with 1.) private insurance 2) Medicaid recipients and 3) those without insurance. Discuss each group.  

Step 1: You will use the Graduate Comprehensive Psychotherapy Evaluation Template Download Graduate Comprehensive Psychotherapy Evaluation Template to:
Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic.
Upload your completed comprehensive psychiatric evaluation as a Word doc. Scanned PDFs will not be accepted.
For the Comprehensive Psychotherapy Evaluation Presentation Assignment: You will need to get it signed by your preceptor for the presentation (actual signature, not electronically typed).
Step 2: Each student will create a focused SOAP note video presentation in the next assignment. See Comprehensive Psychotherapy Evaluation Presentation 1 for more details.
SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. S = Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS) O = Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam A = Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes P = Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up Other: Incorporate current clinical guidelines NIH Clinical GuidelinesLinks to an external site. or APA Clinical GuidelinesLinks to an external site., research articles, and the role of the PMHNP in your evaluation. Psychiatric Assessment of Infants and ToddlersLinks to an external site. Psychiatric Assessment of Children and AdolescentsLinks to an external site. Reminder: It is important that you complete this assessment using your critical thinking skills. You are expected to synthesize your clinical assessment, formulate a psychiatric diagnosis, and develop a treatment plan independently. It is not acceptable to document “my preceptor made this diagnosis.” An example of the appropriate descriiptors of the clinical evaluation is listed below. It is not acceptable to document “within normal limits.” Graduate Mental Status Exam Guide Download Graduate Mental Status Exam Guide Successfully Capture HPI Elements in Psychiatry E/M NotesLinks to an external site.
AAPC Admin. (2013, August 1). Successfully capture HPI elements in psychiatry E/M notes. Advancing the Business of Healthcare. https://www.aapc.com/blog/25848-successfully-capture-hpi-elements-in-psychiatry-em-notes/
Submission Instructions: Upload your completed Comprehensive Psychotherapy Evaluation as a word document. It will be assessed through Turnitin.
Complete and submit the assignment by 11:59 PM ET Thursday.
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Grading Rubric Your assignment will be graded according to the grading rubric Download grading rubric.
The following content is partner provided
Everything in the rubric must be addressed and is attached. I will provide the template that needs to be filled out. This is a psychotherapy assignment and the chief complaint must start off in quotations, what the pt states. If you have any questions, please reach out thank you. A resource page must be added at the end.

Peer response :
In confronting the ethical concerns presented by Gina’s actions as the charge nurse, employing the MORAL ethical problem-solving model offers a structured approach to navigate this dilemma. The MORAL model stands for Massage the dilemma, Outline the options, Resolve the dilemma, Act by applying the chosen option, and Look back and evaluate the entire process (Crisp & Taylor, 2016).
First, massaging the dilemma involves understanding the ethical issues at play. Gina’s actions, such as mischarging supplies and manipulating staffing needs, may not directly harm patients, but they do pose significant ethical concerns regarding honesty and fairness. These actions could lead to mistrust and potential financial implications for patients and the healthcare system. It’s essential to recognize that ethical nursing practice requires adherence to principles of integrity and accountability (American Nurses Association, 2015).
Second, outlining the options could involve several paths: discussing the issue with Gina again and explaining the ethical concerns in more detail; reporting the behavior to a supervisor or the hospital ethics committee; seeking advice from a trusted mentor; or choosing to do nothing. Each option has potential consequences, such as strained workplace relationships or impacts on personal integrity and professional responsibility.
Finally, resolving the dilemma would involve choosing the option that aligns best with ethical principles and professional standards. Acting on this decision would mean approaching a supervisor or the ethics committee to confidentially discuss Gina’s practices. This approach upholds the integrity of the nursing profession and ensures that actions within the healthcare setting are transparent and just. Looking back, this process involves reflecting on the outcome and learning from the experience to handle similar situations in the future more effectively.
This structured approach not only provides a way to address immediate ethical issues but also fosters a culture of ethical awareness and responsibility in the healthcare environment.
References:
Crisp, J., & Taylor, C. (2016). Potter & Perry’s Fundamentals of Nursing – Australian Version (5th ed.). Elsevier Health Sciences.
American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements. ANA.