Assessing and Treating Clients With ADHD

Assignment: Assessing and Treating Clients With ADHD

 

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Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. They may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric mental health nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for clients across the lifespan. For this Assignment, you consider how you might assess and treat clients presenting with ADHD.

 

Learning Objectives

 

Students will:

 

  • Assess client factors and history to develop personalized therapy plans for clients with ADHD
  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD
  • Evaluate efficacy of treatment plans
  • Evaluate ethical and legal implications related to prescribing therapy for clients with ADHD

 

To prepare for this Assignment:

 

  • This case study will serve as the foundation for this week’s Assignment.

 

The Assignment

 

Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/09/mm/attention_deficit_hyperactivity_disorder/index.html  (link to case study)

 

I want you to answer the questions given to you (decision points one, two, and three) before you click on the option. The answers will be based on your decisions made and patient outcomes during the decision tree. I am looking for an essay that is long enough to cover the topic BUT short enough to keep my interest.  I do not need you to tell me the treatment options available to you – I am very familiar with the cases.  Remember this is a Pharmacology class that incorporates Pharmacotherapy and not a class on diagnosing disease. I want you to tell me why you selected an option (why is it the best option- using clinically relevant and patient specific data) AND why you did not choose the other options (with clinically relevant and patient specific data).

 

At each decision point stop to complete the following:

 

  • Decision #1

 

Which decision did you select?

Begin Ritalin (methylphenidate) chewable tablets 10 mg orally in the MORNING

  • Why did you select this decision? Support your response with evidence and references to the Learning Resources. Be sure to provide rationale and clinical evidence (clinical trials) why you DIDN’T select the other treatment choices available
  • 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

 

Change to Ritalin LA 20 mg orally daily in the MORNING

 

    • Why did you select this decision? Support your response with evidence and references to the Learning Resources. Be sure to provide rationale and clinical evidence (clinical trials) why you DIDN’T select the other treatment choices available
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Be sure to provide rationale and clinical evidence why you DIDN’T select the other treatment choices available
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3

Maintain current dose of Ritalin LA and reevaluate in 4 weeks

    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.  Be sure to provide rationale and clinical evidence why you DIDN’T select the other treatment choices available
    • 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?

 

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