(Solution) NURS 6630 Week 9 Assessing and Treating Clients With Attention Deficit Hyperactivity Disorder – Young Girl With ADHD/ Katie is an 8 year old Caucasian female.

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Attention, deficit hyperactivity disorder (ADHD), is a disease process where the individual which is characterized by inattentive, hyperactive and impulsive. According to the DSM-V manual (2013), AD... HD may be classified into three subcategories of these symptoms which can be: the patient may not be paying attention, the hyperactive type may be overly impulsive, fidgety, squirmy or active and most commonly, the patient may have both characteristics. Individuals with this disorder usually present within six months or more, and the disease typically occurs in children ages 6-12 years old. The cause of ADHD is not entirely known, but it can be attributed to combination to genetic factors, and environmental factors that lead to lower amounts the neurotransmitters dopamine and norepinephrine (Stahl, 2013). Treatments for ADHD involve behavioral psychotherapy and the use of medications such as stimulants. Summary of patient Case The patient’s name is Katie; she is an 8-year-old Caucasian female who is brought to the office today by her mother & father. They report that they were referred to the Psychiatric Mental Health Nurse practitioner (PMHNP) by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents report that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition. The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating ScaleRevised.” This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 11:02:01 GMT -06:00 https://www.coursehero.com/file/42308248/Wk9Assgndoc/ Managing Care for Patients with ADHD 3 and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to complete her school work. Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father. Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost.” She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name, and I don’t know what they were talking about,” Katie reports that her home life is just fine. She says that she loves her parents and that they are excellent and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time. The client is an 8-year-old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She has dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backward from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation. The patient is diagnosed with Attention deficit hyperactivity disorder, predominantly inattentive presentation. The purpose of this paper is to examine three different decision treatments options for this patient with ADHD and provide ethical and communication skills regarding patients with this disease. This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 11:02:01 GMT -06:00 https://www.coursehero.com/file/42308248/Wk9Assgndoc/ Managing Care for Patients with ADHD 4 Decision 1 To begin treatment, the PMHNP can either start the patient on Wellbutrin XL 150mg PO daily, Intuniv extended-release 1mg PO at bedtime or Ritalin (Methylphenidate) chewable tablets 10mg PO Q AM. The PMHNP decides to [Show More]

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