Joint commission and QSEN competencie. Provide an example why the

65. CC is 11-year-old female who present to the clinic with her parent for a follow up appointment. Patient reports depression 7/10, anxiety 6/10. Parents reports she gets an average 8-9hrs of sleep daily on non-manic days. Patient denies panic attack, suicide ideation and recent hospitalization. She has been isolative and has no interest in socializing with friends. During manic episodes CC does not sleep for days, involves in high risky behaviors. This has affected her grades and ability to take care of daily needs. Diagnosis: bipolar with depressed mood. Initiated low dose lithium and referral to a therapist was made. Follow in two to assess the effectiveness of the treatment plan- write another pt log for a child

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