Description
Background Information
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6660/03/mm/decision_tree/index.html
The Assignment:
Examine Case 1. You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following:
- Decision #1: Differential Diagnosis
- Which Decision did you select?
- Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
- Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
- Decision #2: Treatment Plan for Psychotherapy
- Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
- Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
- Decision #3: Treatment Plan for Psychopharmacology
- Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
- Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
- Also include how ethical considerations might impact your treatment plan and communication with clients and their families.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Resources
https://www.jaacap.org/article/S0890-8567(13)00819-8/pdf
Decision Point One
BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHAT IS YOUR DIAGNOSIS FOR KATIE?
In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.
299.00 Autism Spectrum Disorder (ASD), mild and co-occurring; 300.23 Social Anxiety Disorder
315.0 Specific Learning Disorder with Impairment in Reading and 315.1 Impairment in Mathematics
314.00 Attention Deficit Hyperactivity Disorder, predominantly inattentive presentation
My Decision: 314.00 Attention Deficit Hyperactivity Disorder, predominantly inattentive presentation
RESULTS OF DECISION POINT ONE
- Client returns to clinic in four weeks
- You selected Attention deficit hyperactivity disorder, predominantly inattentive presentation. Based on this choice, outline the remainder of the diagnostic evaluation that you will conduct on this child and their parents. Be sure to include standardized assessment instruments that you would administer.
Decision Point Two
BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.
Begin Wellbutrin 75 mg orally daily
Begin Strattera 25 mg orally daily
Begin Adderall XR 10 mg orally daily
My decision: Begin Adderall XR 10 mg orally daily
RESULTS OF DECISION POINT TWO
- Client returns to clinic in four weeks
- Katie’s parents seem absolutely delighted upon their return stating that Katie is paying more attention in school, but note that there is still room for improvement, particularly in the afternoon
- They report that Katie’s teacher has reported that Katie is able to maintain her attention throughout the morning classes but come afternoon, she “daydreams.”
- Katie’s parents are also concerned about her decrease in appetite since starting the medication
Decision Point Three
BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.
Assure Katie’s parents that weight loss is common with stimulant medications used to treat ADHD
Augment medication with family therapy
Add a small dose of immediate release Adderall in the early afternoon
My decision: Add a small dose of immediate release Adderall in the early afternoon
Guidance to Student
Whereas weight loss is common with stimulant medication, this option does not address Katie’s parents’ concerns about the return of symptoms in the afternoon.
Augmentation with family therapy is also a good idea as it can help Katie with her symptoms and further help her parents to understand the unique challenges that Katie experiences, as well as ways that they can help her with symptoms, however, this option does not address the return of inattentive symptoms in the afternoon.
Adding a small dose of immediate relate Adderall in the afternoon can help Katie to maintain attention throughout the afternoon and into the early evening when she must do homework. This would be the best option.
Explanation & Answer
Attached.
Running Head: TREATMENT OF ATTENTION DEFICIT HYPERACTIVITY DISORDER
Treatment of Attention Deficit Hyperactivity Disorder
Name
Institution Affiliation
Date
1
TREATMENT OF BIPOLAR I DISORDER
2
Treatment of Attention Deficit Hyperactivity Disorder
Attention Deficit Hyperactivity Disorder (ADHD) also known as hyperkinetic disorder
(HKD) is a neurodevelopmental disorder which can have an impact that is profound in the
workplace and at school as well as impact relationships. As a result, the quality of life of persons
with ADHD, and that of other people around them can become impaired. ADHD is a disorder
that is common in childhood, but it often persists via adolescence into adulthood. ADHD is one
of the most common neurobehavioral disorders that children and adolescents present with for
treatment. The condition is associated with co-occurring disorders to include mood, disruptive,
substance abuse and anxiety.
The diagnosis is usually established clinically by review of impairment and symptoms. In
the diagnosis and treatment, a consideration of an individual’s all life aspects need to be
considered (Tong, Xiong & Tan, 2016). Clinical approach to treatment begins with an
assessment that is comprehensive, to include a history that is careful with information being
obtained from teachers and caregivers as well as interviewing the child to make a diagnosis that
is correct and to institute a treatment plan that is appropriate. Treatment that is multimodal
includes family, educational and individual support. Psychotherapy and pharmacotherapy with
drugs such as alpha agonists and stimulants is fundamental for long-term management of ADHD.
The patient in question is an 8-year-old Caucasian female called Katie who has been
brought by her parents who are reporting that they see no improvement in Katie after she has
taken medications for ADHD treatment. According ...
Review
Review
